• Users Online: 137
  • Print this page
  • Email this page
Year : 2019  |  Volume : 68  |  Issue : 4  |  Page : 279-284

Spectrum of congenital cardiac malformations in dextrocardia: A single institute study

Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Vikas Kumar
Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JASI.JASI_69_19

Rights and Permissions

Introduction: Complex congenital heart malformations are associated with dextrocardia depending on the situs. The objective is to present the spectrum of cardiac malformations and the surgical interventions done in patients with dextrocardia at our tertiary care institute over 5 years. Material and Methods: A retrospective study of patients with dextrocardia undergoing some form of cardiac surgery at our institute from January 2012 to December 2016 was done. Seventeen cases were identified, and their records were reviewed. Results: Of 2231 cardiac surgeries done for congenital heart disease, there were 17 (0.76%) patients with dextrocardia with male predominance (70.58%). The mean age was 5.69 ± 6.66 years. Of 17 patients, 9 had situs inversus, 7 had situs solitus, and 1 patient had situs ambiguous. Thirteen patients (76.47%) had functional single-ventricle physiology. Six of them (46.15%) had situs solitus, 6 (46.15%) had situs inversus, and situs ambiguous in 1 (7.69%). Biventricular repair was possible in 4 patients (23.52%), of which 3 had situs inversus and 1 had situs solitus. Three patients had ventriculoarterial (VA) discordance and 2 had atrioventricular and VA discordance. There were two early mortalities and three late mortalities, all of them had single-ventricle physiology. Discussion and Conclusion: Dextrocardia is a rare congenital anomaly with wide variations of complex congenital cardiac malformations. It is associated with all forms of spatial relationships of visceral organs with situs inversus being the most common.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded117    
    Comments [Add]    

Recommend this journal