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Review
. 2013;40(4):481-3.

Tetralogy of fallot with dextrocardia and situs inversus in a 7-year-old boy

Michael Dilorenzo  1 , Samuel Weinstein, Rajesh Shenoy
Affiliations
Review

Tetralogy of fallot with dextrocardia and situs inversus in a 7-year-old boy

Michael Dilorenzo et al. Tex Heart Inst J. 2013.

Abstract

Tetralogy of Fallot is one of the most frequently diagnosed congenital cardiac abnormalities; however, its association with dextrocardia and situs inversus is reported only rarely. We report a case of these findings in a 7-year-old boy, describe the patient's postoperative course, and review the medical literature relevant to these combined conditions.

Keywords: Cardiac surgical procedures; child; coronary vessel anomalies/complications; dextrocardia; heart defects/congenital; situs inversus; tetralogy of Fallot/complications/diagnosis/epidemiology/surgery; treatment outcome.

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Figures

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Fig. 1 Surface electrocardiogram shows a pattern consistent with dextrocardia.
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Fig. 2 Transthoracic echocardiogram (subxiphoid long-axis view) shows a rightward cardiac apex.
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Fig. 3 Transthoracic echocardiogram (apical 4-chamber view) shows dextrocardia. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle
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Fig. 4 Transthoracic echocardiogram (subxiphoid long-axis view) shows the anteriorly deviated conal septum causing subpulmonic stenosis. LV = left ventricle; RV = right ventricle
See this image and copyright information in PMC

References

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    1. Scragg JN, Denny M. Dextrocardia, tetralogy of Fallot, and situs inversus; report of a case. S Afr Med J 1952;26(52):1025–8. - PubMed
    1. Cooley DA, Billig DM. Surgical repair of congenital cardiac lesions in mirror image dextrocardia with situs inversus totalis. Am J Cardiol 1963;11:518–24. - PubMed
    1. Morgan JR, Forker AD, Trummer MJ. Left aortic arch and right superior vena cava in mirror-image dextrocardia with tetralogy. Chest 1972;61(1):92–4. - PubMed

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