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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 10/2015

01-12-2015 | Letter to the Editor

Letter to the editor regarding “Situs inversus with levocardia, infrahepatic interruption of the inferior vena cava, and azygos continuation: a case report”

Authors: Rohit S. Loomba, Robert H. Anderson

Published in: Surgical and Radiologic Anatomy | Issue 10/2015

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Excerpt

We read with great interest the case report by Del Prete et al., in which they describe their case of a young woman who presented with dyspnea, which they found to be due to a right atrial thrombus [1]. It is certainly the case that the multiple congenital malformations, such as her systemic venous abnormality, the midline liver spanning into the left abdomen, and the presence of multiple right sided spleens, are consistent with so-called “heterotaxy”. But is it justifiable to describe the situation as “partial situs inversus”? It is established that heterotaxy be segregated into right or left isomerism [2]. The reported patient is consistent with left isomerism [1]. The essence of the cardiac arrangement is isomerism of the left atrial appendages. …
Literature
1.
Del Prete A, Cavaliere C, Di Pietto F, De Ritis R (2015) Situs inversus with levocardia, infrahepatic interruption of the inferior vena cava, and azygos continuation: a case report. Surg Radiol Anat [Epub ahead of print]
2.
Jacobs JP, Anderson RH, Weinberg PM, Walters HL 3rd, Tchervenkov CI, Del Duca D, Franklin RC, Aiello VD, Beland MJ, Colan SD, Gaynor JW, Krogmann ON, Kurosawa H, Maruszewski B, Stellin G, Elliott MJ (2007) The nomenclature, definition and classification of cardiac structures in the setting of heterotaxy. Cardiol Young 17(Suppl 2):1–28PubMed
3.
Jun HJ (2013) Interrupted inferior vena cava combined with partial anomalous pulmonary venous return drainage to the IVC in a 67-year-old adult. J Card Surg 28:28–30PubMedCentralCrossRefPubMed
4.
Nagel BH, Williams H, Stewart L, Paul J, Stumper O (2005) Splenic state in surviving patients with visceral heterotaxy. Cardiol Young 15:469–473CrossRefPubMed
5.
Yamamura K, Joo K, Ohga S, Nagata H, Ikeda K, Muneuchi J, Watanabe M, Hara T (2013) Thrombocytosis in asplenia syndrome with congenital heart disease: a previously unrecognized risk factor for thromboembolism. Int J Cardiol 167:2259–2263CrossRefPubMed
Metadata
Title
Letter to the editor regarding “Situs inversus with levocardia, infrahepatic interruption of the inferior vena cava, and azygos continuation: a case report”
Authors
Rohit S. Loomba
Robert H. Anderson
Publication date
01-12-2015
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 10/2015
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1492-x

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