WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Akhil Mehrotra* and Faiz Illahi Siddiqui

ABSTRACT

Dextrocardia, a rare congenital heart condition, can occur in about 1 out of every 12,000 pregnancies. Dextrocardia with situs solitus refers to when the heart is on the right side of the thorax while other viscera are found in their normal positions. The term “situs” is used to describe the positioning of thoracoabdominal organs in the body, including the heart itself. Dextrocardia can occur with a normal position of abdominal visceral organs (situs solitus), with reversal in the position of abdominal visceral organs (situs inversus), or with abnormal distribution of major abdominal visceral organs (situs ambiguous), with varying reported incidence rates, ranging from around 22-33%, 37-39%, and 30-39% of cases in past studies, respectively. The clinical presentation of dextrocardia can vary depending on associated anomalies and individual cases. While some patients with isolated dextrocardia may remain asymptomatic and lead a relatively normal life, others may experience symptoms related to the coexistence of other congenital heart defects. In majority of cases, dextrocardia with situs solitus presents with concomitant congenital cardiac malformations, including anomalous pulmonary venous return, tetralogy of Fallot, septal defects, pulmonic stenosis, coarctation of the aorta, and corrected transposition of the great arteries; other common abnormalities include atrioventricular discordance, single ventricle, and atrial or ventricular septal defect. We are presenting here an interesting and rare case of dextrocardia, situs solitus, D-Transposition of great arteries (D-TGA), ventricular septal defect (VSD) and pulmonary stenosis (PS), in a cyanotic infant.