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Situs inversus with levocardia and congenitally corrected transposition of great vessels with rheumatic tricuspid valve stenosis and regurgitation.

Kukreti BB, Ramakrishnan S, Bhargava B - Heart Views (2011)

Bottom Line: Congenitally corrected transposition of great arteries is a rare congenital anomaly.This case report describes a 30-year-old patient of congenitally corrected transposition of the great arteries with rheumatic involvement of systemic (tricuspid) atrio-ventricular valve.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Congenitally corrected transposition of great arteries is a rare congenital anomaly. This case report describes a 30-year-old patient of congenitally corrected transposition of the great arteries with rheumatic involvement of systemic (tricuspid) atrio-ventricular valve.

No MeSH data available.


Related in: MedlinePlus

Significant valve stenosis and enlarged left atrium. Arrow indicates doming of systemic AV valve (tricuspid valve)
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Figure 1: Significant valve stenosis and enlarged left atrium. Arrow indicates doming of systemic AV valve (tricuspid valve)

Mentions: A 30-year-old woman presented with history of palpitation. Examination revealed an acyanotic patient with situs inversus and pansystolic and mid diastolic murmur best heard at right lower parasternal area. Electrocardiogram, chest X-ray, and echo doppler study were done. Echocardiogram revealed situs inversus, levocardia, atrio-ventricular, and ventriculo-arterial discordance. There was continuity between pulmonary valve and left AV valve (mitral valve). There was thickening and doming of the tricuspid valve [Figure 1] and commissures were fused. Valve movement was restricted with moderate stenosis (area by pressure half time was 1.4 sq.cm, mean gradient – 10 at RR interval – 840 msec, [Figure 2]) and moderate regurgitation. In addition, mild aortic valve regurgitation was also seen. In retrospect, patient was interrogated for a history of rheumatic fever. She gave a history of an episode of polyarthritis with fever at the age of 15 years, but was not investigated because of lack of facilities. Thus a diagnosis of situs inversus with levocardia with corrected transposition with rheumatic stenosis and regurgitation of tricuspid valve was made.


Situs inversus with levocardia and congenitally corrected transposition of great vessels with rheumatic tricuspid valve stenosis and regurgitation.

Kukreti BB, Ramakrishnan S, Bhargava B - Heart Views (2011)

Significant valve stenosis and enlarged left atrium. Arrow indicates doming of systemic AV valve (tricuspid valve)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3345156&req=5

Figure 1: Significant valve stenosis and enlarged left atrium. Arrow indicates doming of systemic AV valve (tricuspid valve)
Mentions: A 30-year-old woman presented with history of palpitation. Examination revealed an acyanotic patient with situs inversus and pansystolic and mid diastolic murmur best heard at right lower parasternal area. Electrocardiogram, chest X-ray, and echo doppler study were done. Echocardiogram revealed situs inversus, levocardia, atrio-ventricular, and ventriculo-arterial discordance. There was continuity between pulmonary valve and left AV valve (mitral valve). There was thickening and doming of the tricuspid valve [Figure 1] and commissures were fused. Valve movement was restricted with moderate stenosis (area by pressure half time was 1.4 sq.cm, mean gradient – 10 at RR interval – 840 msec, [Figure 2]) and moderate regurgitation. In addition, mild aortic valve regurgitation was also seen. In retrospect, patient was interrogated for a history of rheumatic fever. She gave a history of an episode of polyarthritis with fever at the age of 15 years, but was not investigated because of lack of facilities. Thus a diagnosis of situs inversus with levocardia with corrected transposition with rheumatic stenosis and regurgitation of tricuspid valve was made.

Bottom Line: Congenitally corrected transposition of great arteries is a rare congenital anomaly.This case report describes a 30-year-old patient of congenitally corrected transposition of the great arteries with rheumatic involvement of systemic (tricuspid) atrio-ventricular valve.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Congenitally corrected transposition of great arteries is a rare congenital anomaly. This case report describes a 30-year-old patient of congenitally corrected transposition of the great arteries with rheumatic involvement of systemic (tricuspid) atrio-ventricular valve.

No MeSH data available.


Related in: MedlinePlus