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dextrocardia

Congenital anomaly with the viscera reversed so that the heart is on the right side (a mirror image of the normal). Etiology: - ciliary dyskinesia (15%) Genetics: - associated with defects in DNAH11 Clinical manifestations: 1) patients are asymptomatic 2) apical impulse on right side Special laboratory: - electrocardiogram: a) inverted P waves b) inverted T waves c) QRS negative in ECG lead I & lead II Radiology: cardiac silhouette on right (mirror image)

General

congenital heart disease; congenital cyanotic heart disease situs inversus

References

  1. DeGowin & DeGowin's Diagnostic Examination, 6th edition, RL DeGowin (ed), McGraw Hill, NY 1994, pg 878-79
  2. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 746-47