Myocardial Perfusion SPECT Imaging in Dextrocardia with Situs Inversus: A Case Report

Authors

  • Emmanuel Hammond Division of Nuclear Medicine and Molecular Imaging, Department of Radiation Sciences, University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, South Africa.
  • Mboyo-Di-Tamba Vangu Division of Nuclear Medicine and Molecular Imaging, Department of Radiation Sciences, University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, South Africa.
  • Nico Malan Division of Nuclear Medicine and Molecular Imaging, Department of Radiation Sciences, University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, South Africa.
  • Olusegun Akinwale Ayeni Division of Nuclear Medicine and Molecular Imaging, Department of Radiation Sciences, University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, South Africa.
Abstract:

Dextrocardia is a cardiac positional anomaly in which the heart is located in the right hemithorax with its base-to-apex axis directed to the right and caudad. Situs inversus is an autosomal recessive disorder that causes organs in the chest and abdomen to be positioned in a mirror image from their normal position. Dextrocardia may occur in isolation or as part of situs inversus. Similarly, situs inversus may occur with or without dextrocardia. Situs inversus accompanied with dextrocardia (situs inversus totalis) is a rare congenital abnormality occurring in 0.01% of live births. Herein, we present the case of a 35-yearold man with previously diagnosed situs inversus totalis with mirror-image dextrocardia, referred to our facility for diagnosis of coronary artery disease (CAD). The incidence and presentation of CAD in patients with dextrocardiaare similar to the normal population. However, considerable attention should be paid to the acquisition of myocardial perfusion scintigraphy and data processing/analysis in this group of patients. The present case highlights thedistinctive applications and potential pitfalls of myocardial perfusion single photon emission computed tomography (SPECT) imaging in patients with dextrocardia.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

myocardial perfusion spect imaging in dextrocardia with situs inversus: a case report

dextrocardia is a cardiac positional anomaly in which the heart is located in the right hemithorax with its base-to-apex axis directed to the right and caudad. situs inversus is an autosomal recessive disorder that causes organs in the chest and abdomen to be positioned in a mirror image from their normal position. dextrocardia may occur in isolation or as part of situs inversus. similarly, sit...

full text

Dextrocardia with situs inversus: a case report.

We present a 24-year-old lady who reported at the radiology department, UBTH Benin City for a chest radiograph, as part of her pre-employment medical examination. She was asymptomatic, her past medical history was not significant and physical examination revealed an apex beat located on the 5th right intercoastal space. The chest radiograph confirmed dextrocardia and also revealed the gastric a...

full text

Myocardial Perfusion Spect Imaging in Dextrocardia: A Case Report

UNLABELLED The myocardial perfusion scintigraphy acquisition and analysis present some technical differences in the rare dextrocardia cases. Here we report a case of a 38 year-old woman with dextrocardia who had been applied myocardial perfusion scintigraphy. Presented case showed that the thoracic and abdominal organs had a mirror image with situs inversus totalis type dextrocardia. The incide...

full text

A Rare Case of Dextrocardia with Situs Inversus Totalis in a Patient of Diabetic Mother

Infants of diabetic mothers are significantly at higher risk for major congenital malformations, with cardiovascular anomalies that is the most frequent. In this study, we presented a rare case of dextrocardia and situs inversus totalis (mirror-image dextrocardia) with multiple congenital heart anomalies who was born from a diabetic mother.

full text

Implantable cardioverter-defibrillator in a patient with dextrocardia situs inversus

Background: Dextrocardia is a congenital anomaly, which may have coexistent coronary artery disease (CAD), arrhythmias and conventional indications for device therapy. However, the implantation of transvenous leads can be technically challenging and the approach needs to be tailored to the patient's individual anatomy. Case presentation: A 54-year-old male with dextrocardia situs inversus and i...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 4  issue 2

pages  109- 112

publication date 2016-07-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023