Pathologic anatomy of dextrocardia and its clinical implications

This is a morphologic study of 41 cases of dextrocardia for the purpose of clarifying terminology and evaluating the clinical import of the morphologic data. Dextrocardias are classified as dextroversion, mirror-image dextrocardia, and mixed dextrocardia. When the atrial septum does not identify the...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 1968-06, Vol.37 (6), p.979-999
Hauptverfasser: Lev, M, Liberthson, R R, Eckner, F A, Arcilla, R A
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container_end_page 999
container_issue 6
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container_title Circulation (New York, N.Y.)
container_volume 37
creator Lev, M
Liberthson, R R
Eckner, F A
Arcilla, R A
description This is a morphologic study of 41 cases of dextrocardia for the purpose of clarifying terminology and evaluating the clinical import of the morphologic data. Dextrocardias are classified as dextroversion, mirror-image dextrocardia, and mixed dextrocardia. When the atrial septum does not identify the atria, it was found possible to make the presumptive diagnosis of dextroversion or mirror-image dextrocardia. The mutual relations of the visceral situs with the atrial situs, the presence or absence of splenic abnormalities, the type of dextrocardia, and the systemic and pulmonic venous return were investigated, as well as the type of complex that is characteristic of each type of dextrocardia. The most important morphologic data useful for clinical application were found to be the position of the aortic and pulmonic annuli, the course of the pulmonary trunk, the entry of the inferior and superior venae cavae, and the course of the anterior descending coronary artery.
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Dextrocardias are classified as dextroversion, mirror-image dextrocardia, and mixed dextrocardia. When the atrial septum does not identify the atria, it was found possible to make the presumptive diagnosis of dextroversion or mirror-image dextrocardia. The mutual relations of the visceral situs with the atrial situs, the presence or absence of splenic abnormalities, the type of dextrocardia, and the systemic and pulmonic venous return were investigated, as well as the type of complex that is characteristic of each type of dextrocardia. 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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Adolescent
Adult
Aged
Child
Child, Preschool
Dextrocardia - diagnosis
Dextrocardia - pathology
Diagnosis, Differential
Female
Heart Defects, Congenital - diagnosis
Humans
Infant
Infant, Newborn
Male
Situs Inversus
Spleen - abnormalities
title Pathologic anatomy of dextrocardia and its clinical implications
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