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Sohns JM, Steinmetz M, Schneider H, Fasshauer M, Staab W, Kowallick JT, Schuster A, Ritter C, Lotz J, Unterberg-Buchwald C. Situs inversus totalis with congenitally corrected transposition of the great arteries: insights from cardiac MRI. SPRINGERPLUS 2014; 3:601. [PMID: 25392774 PMCID: PMC4216825 DOI: 10.1186/2193-1801-3-601] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Accepted: 09/30/2014] [Indexed: 11/10/2022]
Abstract
INTRODUCTION Situs inversus totalis with congenitally corrected transposition of the great arteries represents a relatively rare congenital condition. CASE DESCRIPTION The current report describes the case of a 56 year old patient with an atrio-ventricular and ventricular-arterial discordance of the heart chambers without surgical correction, incidentally detected during hepatocellular carcinoma evaluation. The systemic venous blood arrived via the right atrium and a mitral valve in the morphologically left but pulmonary arterial ventricle that gave rise to a pulmonary trunk. The pulmonary venous blood passed the left atrium and the tricuspid valve into a morphologically right but systemic ventricle that gave rise to the aorta. DISCUSSION AND EVALUATION The switched anatomy was incidentally detected on echocardiography. The patient was referred to cardiac magnetic resonance imaging (CMR) including flow measurements, volumetry and late enhancement. CMR results showed a mildly impaired function and the switched anatomy. During a follow-up period of 2 years the patient was suffering from only mild heart failure and dyspnea. CONCLUSIONS Heart failure symptoms and arrhythmias can appear with increasing age in patients with congenitally corrected transposition. Early CMR allows accurate diagnosis and timely introduction of adequate therapy thereby avoiding disease progression.
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Affiliation(s)
- Jan M Sohns
- Institute for Diagnostic and Interventional Radiology, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37099 Göttingen, Germany ; DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany
| | - Michael Steinmetz
- DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany ; Department of Pediatric Cardiology and Intensive Care Medicine, Georg-August-University, Göttingen, Germany
| | - Heike Schneider
- DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany ; Department of Pediatric Cardiology and Intensive Care Medicine, Georg-August-University, Göttingen, Germany
| | - Martin Fasshauer
- Institute for Diagnostic and Interventional Radiology, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37099 Göttingen, Germany ; DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany
| | - Wieland Staab
- Institute for Diagnostic and Interventional Radiology, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37099 Göttingen, Germany ; DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany
| | - Johannes Tammo Kowallick
- Institute for Diagnostic and Interventional Radiology, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37099 Göttingen, Germany ; DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany
| | - Andreas Schuster
- DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany ; Department of Cardiology and Pneumology, Georg-August-University Göttingen, Göttingen, Germany
| | - Christian Ritter
- Institute for Diagnostic and Interventional Radiology, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37099 Göttingen, Germany ; DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany
| | - Joachim Lotz
- Institute for Diagnostic and Interventional Radiology, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37099 Göttingen, Germany ; DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany
| | - Christina Unterberg-Buchwald
- DZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany ; Department of Cardiology and Pneumology, Georg-August-University Göttingen, Göttingen, Germany
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Patanè S, Marte F, Dattilo G, Tulino V, Pagano GT, Sturiale M. The chance finding of a ventricular septal defect in a 2-day-old newborn infant. Int J Cardiol 2011; 152:e45-6. [DOI: 10.1016/j.ijcard.2009.07.039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2009] [Accepted: 07/25/2009] [Indexed: 11/26/2022]
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Dattilo G, Tulino D, Tulino V, Lamari A, Marte F, Patanè S. The chance finding of an aneurysm of the right sinus of Valsalva in an 11-year-old child with a ventricular septal defect and a pericardial effusion. Int J Cardiol 2011; 151:e77-9. [DOI: 10.1016/j.ijcard.2009.03.056] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2009] [Revised: 03/04/2009] [Accepted: 03/05/2009] [Indexed: 11/17/2022]
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Tulino D, Dattilo G, Tulino V, Lamari A, Marte F, Patanè S. A case of spontaneous closure of a muscular ventricular septal defect. Int J Cardiol 2011; 150:e43-5. [DOI: 10.1016/j.ijcard.2009.02.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2009] [Accepted: 02/27/2009] [Indexed: 11/28/2022]
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