A 79-year-old man with situs inversus and dextrocardia underwent catheter ablation of symptomatic paroxysmal atrial fibrillation. Pulmonary vein isolation (PVI), using second-generation cryoballoon under Ensite NavX system guidance, was performed successfully in a reverse manner, which required short procedure and fluoroscopy times, as required in a PVI performed on a normal heart without any c...

Figure 1. Chest radiography demonstrated a normal-sized heart with dextrocardia, right-sided gastric air bubble, aortic knob and descending aorta. The left hemidiaphragm was higher than the right one. This picture was compatible with situs inversus totalis. A 57-year-old woman was well in the past. She suffered mild dyspnea for 2 years. On physical examination, she was found to be normotensive ...

BACKGROUND Primary ciliary dyskinesia is characterised by chronic rhinosinusitis, chronic bronchial sepsis (usually with bronchiectasis), dextrocardia in approximately 50% of cases, and male infertility. The latter, described in patients attending infertility clinics, results from immotile but viable spermatozoa. Experience in a respiratory clinic suggests that infertility in men is not invaria...

To cite: Patel RV, More B, Sinha CK, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009955 DESCRIPTION A term baby girl had respiratory distress on first feed. She had cardiac impulse and heart sounds on the right side. Liver was palpable below the left costal margin with liver dullness on the left side. An orogastric tube got arrested at 10 cm. Chest ...

A variant of double-outlet right ventricle (DORV) associated with common atrioventricular (A-V) canal was identified. As yet, this syndrome has not been successfully repaired. Of 16 patients with this diagnosis, 14 had the diagnosis confirmed at postmortem examination and two had the diagnosis confirmed by exploratory cardiotomy. The 16 patients were divided into two groups according to the pos...

A 20-year-old man was referred to us for further evaluation due to infective endocarditis. He had mirror-image dextrocardia with visceral situs inversus. He had a history of dyspnea on exertion (NYHA class II) of several years’ duration with no new onset symptoms. On physical examination, he had no peripheral stigmata of infective endocarditis. Laboratory examination showed a normal erythrocyte...

Diaphragmatic injury is an uncommon traumatic injury (<1%). Although most diaphragmatic injuries can be obvious (eg, herniation of abdominal contents on chest radiograph), some injuries may be subtle and imaging studies can be nondiagnostic in many situations. Patients with diaphragmatic hernia either traumatic or nontraumatic may initially have no symptoms or signs to suggest an injury to the ...