SITUS INVERSUS TOTALIS IN A NEWBORN WITH CONGENITAL HEART DISEASE
Journal
Македонски Медицински Преглед = Macedonian Medical Review
Date Issued
2024
Author(s)
Jancevska, Aleksandra
Ristovska, Sanja
Abstract
Introduction. Situs inversus totalis (SIT) is rarely re-
ported in newborns. Isolated or associated with other
congenital abnormalities, most often with congenital
heart malformations (3-9%), SIT can often be an acci-
dental finding.
Case report. We report a term-newborn with SIT and
complex congenital heart defect, diagnosed prenatally
by fetal ultrasound. SIT was confirmed with plane film
X-ray (liver on a left side, spleen on right side). Heart
ultrasound was done and revealed a complex cardiac
malformation (CHM) - dextrocardia, single ventricle,
tricuspidal valvular atresia, hypoplastic aortae, ASD II,
PDA. The baby was transferred to a heart surgery center
where the neonate was treated but unfortunately pa-
ssed away.
Conclusion. SIT with CHM is a rare condition in
neonatal period. Although a myriad of congenital
malformations can be accompanying, isolated SIT is
the most common. SIT and CHM is a condition
challenging for surgical treatment.
ported in newborns. Isolated or associated with other
congenital abnormalities, most often with congenital
heart malformations (3-9%), SIT can often be an acci-
dental finding.
Case report. We report a term-newborn with SIT and
complex congenital heart defect, diagnosed prenatally
by fetal ultrasound. SIT was confirmed with plane film
X-ray (liver on a left side, spleen on right side). Heart
ultrasound was done and revealed a complex cardiac
malformation (CHM) - dextrocardia, single ventricle,
tricuspidal valvular atresia, hypoplastic aortae, ASD II,
PDA. The baby was transferred to a heart surgery center
where the neonate was treated but unfortunately pa-
ssed away.
Conclusion. SIT with CHM is a rare condition in
neonatal period. Although a myriad of congenital
malformations can be accompanying, isolated SIT is
the most common. SIT and CHM is a condition
challenging for surgical treatment.
File(s)![Thumbnail Image]()
Loading...
Name
situs inversus.pdf
Size
751.36 KB
Format
Adobe PDF
Checksum
(MD5):b1296b232c1615a52e3aeada4af5e781