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Clinical Manifestation and Associated Cardiac Anomalies of Dextrocardia

Journal of the Korean Pediatric Society 2002;45(5):622-628.
Published online May 15, 2002.
Clinical Manifestation and Associated Cardiac Anomalies of Dextrocardia
Sung Hoon Kim, Seung A Hong, Yoon Jung Cho, Sang Lak Lee, Tae Chan Kwon
Department of Pediatrics, School of Medicine, Keimyung University, Daegu, Korea
우심증에 동반된 심기형과 임상양상
김성훈, 홍승아, 조윤정, 이상락, 권태찬
계명대학교 의과대학 소아과학교실
Correspondence: 
Yoon Jung Cho, Email: yjcho@dsmc.or.kr
Abstract
Purpose
: The purpose of this study is to ascertain the clinical manifestations and associated cardiac anomalies of dextrocardia.
Methods
: Twenty-four pediatric patients, who were admitted to, or visited, Dongsan Medical Center Keimyung University and were diagnosed with dextrocardia between January 1996 and July 2001, were enrolled in this study. All patients received echocardiogram and abdominal ultrasonogram to identify structural cardiac anomalies and visceral position.
Results
: Among 24 patients, 7 cases were situs solitus(29.2%), 10 cases(41.6%) were situs inversus and 7 cases(29.2%) were situs ambiguous. Most were diagnosed within a week of life(87.5%). They were most commonly cyanotic(45.8%), but eleven cases(45.8%) had no specific symptoms or signs. Nineteen cases(79.2%) had accompanied cardiac anomalies, and pulmonary stenosis or atresia were the most common among them. All the cases of situs solitus and ambiguous had associated cardiac anomalies, but half of the situs inversus had that. Eleven cases were dead by cardiac or extracardiac anomalies during follow up and the mortality rate was higher in situs solitus or ambiguous group than situs inversus group.
Conclusion
: Dextrocardia accompanies different cardiac and extracardiac anomalies. It's very important to diagnose dextrocardia and associated cardiac or extracardiac anomalies in the early stages of life to improve prognosis.
Key Words: Dextrocardia


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