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左旋心伴内脏反位的偶然发现:病例报告。

Incidental finding of levocardia with situs inversus: case report.

作者信息

Stuckert Michael, Sharma Soumya, Jaggernauth Sarah, Waack Andrew, Vattipally Venkatramana

机构信息

The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio.

Advanced Radiology Services, P.C., Grand Rapids, Michigan.

出版信息

Radiol Case Rep. 2024 Dec 17;20(3):1386-1388. doi: 10.1016/j.radcr.2024.11.042. eCollection 2025 Mar.

Abstract

"Situs inversus with levocardia" refers to the mirror-image lateral orientation of the abdominal organs with a normally oriented, left-sided heart. This anatomical anomaly arises from abnormalities in the biochemical signaling systems mediating embryological development. We present a case of situs inversus with levocardia incidentally discovered in a healthy 24-year-old male during workup following a motor vehicle collision. The patient had no significant prior medical history and was unknown to harbor such anatomical anomalies. Although our presented patient had no pathology associated with his anatomical abnormalities, situs inversus with levocardia is highly associated with concomitant cardiac malformations. These associated cardiac malformations are often incompatible with life, and many patients die in early childhood; nevertheless, we present a rare case of situs inversus with levocardia discovered incidentally in a healthy young adult with no associated cardiac pathology.

摘要

“镜像右位心伴左位心”指的是腹部器官呈镜像侧向定位,而心脏正常位于左侧。这种解剖学异常源于介导胚胎发育的生化信号系统异常。我们报告一例在机动车碰撞后检查时偶然发现的健康24岁男性镜像右位心伴左位心病例。该患者既往无重大病史,此前也未知存在此类解剖学异常。尽管我们报告的患者其解剖学异常未伴有病理学改变,但镜像右位心伴左位心与心脏畸形高度相关。这些相关的心脏畸形往往与生命不相容,许多患者在幼儿期死亡;然而,我们报告了一例在健康年轻成年人中偶然发现的镜像右位心伴左位心罕见病例,且无相关心脏病理学改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6145/11721265/02b0ff24cd74/gr1.jpg

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