was defined as liver on the right side and the stomach on the left side, with the right inferior caval vein and the superior caval vein connecting to the systemic right atrium on the right side.
A disseccao do coracao e de suas estruturas anatomicas permitiu classificar o caso como uma dextrocardia isolada com situs solitus
, ou seja, todas as visceras abdominais em posicao normal.
She suffered from situs solitus
, a severe cyanotic heart defect consisting of pulmonary atresia, overriding aorta, concordant atrioventricular shunts, aortopulmonary collateral circulation, and a large ventricular septal defect (VSD).
Echocardiography done in ER showed situs solitus
dextrocardia with severely hypokinetic left ventricular anterior wall and apex and ejection fraction of approximately 40%.
CECT thorax done, showed dextrocardia with D-loop configuration and situs solitus
. Mild volume loss of right hemi thorax with mildly reduced size of the right main pulmonary artery and mild compensatory hyperinflation of the left lung was seen (Figure 3).
Transthoracic echocardiography showed cardiac situs solitus
levocardia with great artery transposition with intact interventricular septum, atrial septal defect (ASD), moderate right atrial dilatation and a persistent left vena cava superior (Fig.