Complex Adult Congenital Heart Disease: A Rare Case of Dextrocardia with Double-outlet Right Ventricle

Author:

Ajibare Adeola Olubunmi12,Oladimeji Oluwaseye Michael1,Ojo Oluwafemi Tunde12,Daniel Folasade Adeola12,Adebola Philip Alaba12,Olanrewaju Abdulazeez1

Affiliation:

1. Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria

2. Department of Medicine, Faculty of Clinical Sciences, Lagos State University College of Medicine, Lagos, Nigeria

Abstract

Abstract Double-outlet right ventricle (DORV) is a complex and rare congenital heart disease (CHD), which is usually symptomatic early in childhood and thus diagnosed early. Dextrocardia is another rare CHD that can occur either as an isolated cardiac abnormality or may be associated with other complex cardiac defects. However, the co-occurrence of DORV and dextrocardia is rare, especially in adult life. We present a 35-year-old Nigerian lady with situs inversus totalis and complex CHD, which included dextrocardia with multiple congenital intracardiac shunts, DORV occurring with L-malpositioning of the great vessels, atrial septal defect, and ventricular septal defect with partial anomalous pulmonary venous drainage, persistent left superior vena cava as well as severe pulmonary stenosis.

Publisher

Medknow

Subject

General Medicine

Reference13 articles.

1. Spectrum of adult congenital heart disease and the indications for echocardiography referral in Lagos, Nigeria:A single tertiary institution's experience;Ajibare;Nig Del Med J,2022

2. A population-based study of cardiac malformations and outcomes associated with dextrocardia;Bohun;Am J Cardiol,2007

3. Guidelines for the outpatient management of complex congenital heart disease;Wernovsky;Congenit Heart Dis,2006

4. Dextrocardia in adults with congenital heart disease;Offen;Heart Lung Circ,2016

5. Dextrocardia:Angiocardiographic study and classification;Squarcia;Am J Cardiol,1973

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