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Abstract

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Article in Japanese

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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