1/86. bronchopulmonary sequestration and dextrocardia.bronchopulmonary sequestration (BPS) is usually a rare congenital anomaly, which is most frequently extralobar or intralobar. The case of a patient with positional congenital anomaly--dextrocardia (situs thoracalis inversus) and intrapulmonary sequestration (IPS) is presented. Clinical and radiological characteristics of EPS and IPS are discussed, and new combinations of congenital anomalies with bronchopulmonary sequestration are described, dextrocardia and intrapulmonary sequestration. The importance of the algorithm of diagnostic examinations is emphasized, from detection of bronchopulmonary sequestration on the chest roentgenogram to establishing a definite diagnosis by means of angiography.- - - - - - - - - - ranking = 1keywords = inversus, situs (Clic here for more details about this article) |
2/86. Neonatal arterial switch operation for transposition of the great ateries in a patient with mirror image dextrocardia and situs inversus totalis.The neonatal arterial switch operation has become the standard therapy for D-transposition of the great arteries in the absence of left ventricular outflow tract obstruction. We describe our experience of successful arterial switch operation after balloon atrial septostomy in a 5-day-old infant girl who had atrial and visceral situs inversus totalis, mirror image dextrocardia, and D-transposition of the great arteries. To our knowledge, ours is the first report of this operation in a patient with this anatomy.- - - - - - - - - - ranking = 17.086436255799keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
3/86. Multiple coronary artery bypass grafting in dextrocardia: case report.This is a case report of an unusual case of a patient with dextrocardia and "situs inversus totalis" who presented with unstable angina. coronary angiography revealed severe main stem and severe triple vessel coronary artery disease. The patient later underwent successful emergency coronary artery bypass graft surgery. To the authors' knowledge this is the first reported case in malaysia and also, the first ever report in the literature of multiple vessel coronary artery grafting, including the use of the right internal mammary artery.- - - - - - - - - - ranking = 3.4172872511598keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
4/86. Left lower quadrant pain of unusual cause.The differential diagnosis of left lower quadrant abdominal pain in an adult man includes, among others, sigmoid diverticulitis; leaking abdominal aortic aneurysm; renal colic; epididymitis; incarcerated hernia; bowel obstruction; regional enteritis; psoas abscess; and in this rare instance, situs inversus with acute appendicitis. We report a case of situs inversus totalis with left-sided appendicitis and a brief review of the literature. There were several subtle indicators of total situs inversus present that were missed by the physicians and surgeons who initially evaluated the patient prior to surgery. Computed tomography scan with contrast, however, revealed the diagnosis immediately, and treatment was successfully initiated.- - - - - - - - - - ranking = 10.251861753479keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
5/86. Marfan's syndrome, dextrocardia and situs inversus associated with discrete subaortic stenosis and aortic insufficiency in an adult female: case report.Marfan's syndrome is an inherited connective tissue defect that affects many organs, especially of the musculoskeletal, ophthalmic and cardiovascular systems, and may be associated with some rare conditions. Here, we report the first known case of Marfan's syndrome, combined with situs inversus totalis with dextrocardia and discrete subaortic stenosis and aortic insufficiency in a 22-year-old woman.- - - - - - - - - - ranking = 17.086436255799keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
6/86. liver transplantation from situs inversus to situs inversus.Congenital anatomic anomalies often present technical obstacles during liver transplantation. biliary atresia (BA) is the most common indication for liver transplantation in children, and up to 28% of children with situs inversus are complicated by BA. A boy aged 2 years 11 months with BA, situs inversus, and dextrocardia received a liver transplant from his father. The donor also had situs inversus and dextrocardia without other anomalies. Graft function was excellent postoperatively, and no significant complications were encountered. This is only the second report of the successful use of a living related donor graft for a patient with BA and situs inversus. This case was particularly rare because the donor also had situs inversus, which made the present procedure more feasible.- - - - - - - - - - ranking = 44.424734265077keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
7/86. Coronary stent deployment in situs inversus.situs inversus with dextrocardia occurs in approximately one in 10 000 patients. Successful stent deployment for the treatment of unstable angina and situs inversus is presented. Three technical challenges associated with the procedure are highlighted. Firstly, the successful choice of diagnostic and interventional catheters is based on an understanding of the orientation of the aortic arch. With a right sided aorta Judkins catheters should be successful. Secondly, image reversal is not necessarily required for image interpretation. Thirdly, successful coronary engagement with catheters requires rotation in a direction opposite to that normally used.- - - - - - - - - - ranking = 17.794006507427keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
8/86. Case report: off-pump total myocardial revascularization for dextrocardia and situs inversus.A 42-year-old man with dextrocardia and situs inversus underwent successful off-pump total myocardial revascularization using the technique popularized by Tector [Tector 1994, Tector 1996]. The free left internal mammary artery (LIMA) was anastomosed to the in-situ right internal mammary artery (RIMA) at the level of the right-sided left atrial appendage, then anastomosed sequentially to the first diagonal branch (D1) of the left anterior descending artery (LAD), and to the LAD. The in-situ RIMA was sequentially anastomosed to the first and the second obtuse marginal branches (OM1 and OM2) of the circumflex coronary artery. A saphenous vein was then anastomosed to a diffusely diseased posterior descending branch (PDA) of the right coronary artery (RCA). The patient was asymptomatic and in excellent condition three months after surgery. In economically depressed regions of the world, such as the Gaza Strip, off-pump complete revascularization is an excellent alternative to cardiopulmonary bypass.- - - - - - - - - - ranking = 17.086436255799keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
9/86. heart block in dextrocardia and situs inversus: a case report.The authors report a case of a 39-year-old woman with dextrocardia and situs inversus who presented with episodes of complete heart block, managed successfully with a permanent dual chamber endocardial pacemaker.- - - - - - - - - - ranking = 17.086436255799keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
10/86. Antenatal diagnosis of mirror-image dextrocardia in association with situs inversus and Turner's mosaicism.We describe the antenatal diagnosis of a fetus with mirror-image dextrocardia, complete situs inversus and Turner's mosaicism (45,XO/46,XY) that was artificially terminated at 19 weeks. autopsy confirmed our initial findings. This case represents an unusual combination of anomalies rarely encountered in clinical practice.- - - - - - - - - - ranking = 17.086436255799keywords = situs inversus, inversus, situs (Clic here for more details about this article) |
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