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Article in Japanese
Abstract
Diagnostic Imaging
A rare case of isolated levocardia with left isomerism presenting as bilateral hyparterial bronchi and right-sided gastric bubble
Yuji Yamamoto Yasushi Otani Fukuko Okabe Midori Yoneda Osamu Morimura Kinya Abe
Department of Internal Medicine, Toyonaka Municipal Hospital
ABSTRACT
A 19-year-old asymptomatic male was referred to our hospital for evaluation of an abnormal chest X-ray film showing partial swelling of mediastinum. Contrast-enhanced computed tomography showed interruption of the inferior vena cava and the connection of the superior vena cava to the azygos vein. The structure of both lungs was bi-lobed and that of the bronchi was bilaterally hyparterial, although the heart was located in the position of levocardia without cardiac anomalies. The abdominal organs, including the liver, were located in the mirror image of situs solitus with polysplenia. This was an extremely rare case of isolated levocardia with heterotaxy and polysplenia without any hemodynamic complications. We present this case with a review of heterotaxy and its long-term follow-up.
KEYWORDS
Situs inversus viscerum Isolated levocardia Heterotaxy Bilateral hyparterial bronchi
Received 29 Oct 2018 ／ Accepted 15 Jan 2019
AJRS, 8(3): 224-228, 2019
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