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Irregular laterality: Complete situs inversus and heterotaxy in recruitment: Case presentations and literary review



Irregular laterality: Complete situs inversus and heterotaxy in recruitment: Case presentations and literary review



Revue Internationale des Services de Sante des Forces Armees 74(1): 26-33, Mars



Inversed site of inner organs is not a common finding. Variable association with other cardiac or extracardiac malformations and pathological conditions requires detailed investigation considering more than abnormal laterality. Isolated dextrocardia is frequently associated with complex cardiac malformations, in most cases diagnosed even before or right after birth. Dextrocardia with complete situs inversus rarely goes with congenital heart disease, but attention must be paid to occurrence of other disorders like Kartagener's syndrome of dyskinetic cilia. At physicals also other, yet even rarer abnormalities may be of concern: the most likely is congenitally corrected transposition of the great arteries. Occurrence of splenic anomalies is at least possible. Two cases, one of Kartagener's syndrome and one of congenitally corrected transposition of the great arteries, seen at the recruitment unit of Graz, Austria are presented. Diagnostic work-up is discussed.

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Accession: 010885686

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