select ad.sno,ad.journal,ad.title,ad.author_names,ad.abstract,ad.abstractlink,j.j_name,vi.* from articles_data ad left join journals j on j.journal=ad.journal left join vol_issues vi on vi.issue_id_en=ad.issue_id where ad.sno_en='68279' and ad.lang_id='9' and j.lang_id='9' and vi.lang_id='9'
ISSN: 2155-9880
Elio Caruso*, Silvia Farruggio
<p>
Dextrocardia is an abnormal situs which occurs when the apex of the heart points to the right and inferiorly.
Dextrocardia could occur in isolation or may occur concomitantly with other cardiac lesions. It could also occur
with abnormal rotation of the atrium and visceral organs (situs inversus totalis). Complex cardiac anomalies
coexisting with dextrocardia with certain endocrinepathies are rare occurrence. We report a 2-month-old female who
presented with breathlessness, cyanosis and subclinical features of congenital hypothyroidism from birth. The child
was previously managed as neonatal jaundice, but after phototherapy, clinical signs of jaundice persisted. Further
examination revealed splitting of the second heart sound and a very faint grade 2 ejection systolic murmur located
at the second left intercostal space. Chest radiograph and echocardiography revealed dextrocardia and transitional
Atrio-Ventricular (AV) canal defect respectively. He is presently been worked up for AV canal repair and thyroid
assay result is been waited. Dextrocardia coexisting with AV canal defect and congenital hypothyroidism are rare
combination of complex cardiac defect. High index of suspicion, timely diagnosis and appropriate referral will help
avert morbidities and mortality associated with this lesion.
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