Medicine, Gandhi Medical College and Hospital, Secunderabad, Hyderabad, Telangana, India.
Bangalore Medical College, Bangalore, Karnataka, India.
BMJ Case Rep. 2022 Apr 25;15(4):e249263. doi: 10.1136/bcr-2022-249263.
We report an extremely rare case of mesocardia with double inferior vena cava (IVC) in this case report. The patient's associated atrial septal defect (ASD) with left to right shunt leading to pulmonary congestion and recurrent episodes of pneumonia was the leading diagnosis for which care was sought at our hospital. The diagnoses of these rare congenital cardiac anomalies were uncovered only after a thorough workup. Mesocardia is extremely rare and accounts for only 0.2% of congenital anomalies. Its association with other cardiac and vascular anomalies, however, warrants a meticulous workup for the identification of such associated conditions-ASD and double IVC being two such anomalies in our patient. The dictum of working up a case of congenital cardiac anomaly for other congenital cardiaovascular anomalies, therefore, found merit in our case.
我们在本病例报告中报告了一例极为罕见的心中膈伴有双下腔静脉（IVC）的病例。该患者的相关房间隔缺损（ASD）伴有左向右分流导致肺充血和反复肺炎发作，是导致其在我院寻求治疗的主要诊断。这些罕见的先天性心脏畸形的诊断仅在彻底的检查后才被发现。心中膈极为罕见，仅占先天性畸形的 0.2%。然而，其与其他心脏和血管畸形相关，因此需要进行细致的检查以确定这些相关病症——在我们的患者中，房间隔缺损和双下腔静脉就是两种这样的畸形。因此，对于先天性心脏畸形病例进行其他先天性心血管畸形检查的原则在我们的病例中是有价值的。
