Coronary heart disease in situs inversus totalis

      This paper is only available as a PDF. To read, Please Download here.


      In patients with dextrocardia as a part of situs inversus totalis, coronary heart disease may occur with similar frequency and manifestations as in the general population. Diagnostic problems arise from the altered cardiovisceral relation; when these are recognized, coronary heart disease can be defined by the usual criteria. The use of electrocardiographic and vectorcardiographic tracings with right-left reversal of all leads in patients with dextrocardia allows the recognition of abnormalities on the basis of standard criteria. Seven cases are reported, 1 followed up clinically and 6 studied at autopsy.
      To read this article in full you will need to make a payment


        • Gau GT
        • Smith RE
        The effect of electrode position on a modified Frank electrovectorcardiographic lead system.
        in: third edition. Mayo Clin Proc. 46. 1971: 536-543
        • Van Praagh R
        • Van Praagh S
        • Vlad P
        • et al.
        Anatomic types of congenital dextrocardia: diagnostic and embryologic implications.
        Amer J Cardiol. 1964; 13: 510-531
        • Moss AJ
        • Adams FH
        Heart Disease in Infants, Children, and Adolescents.
        in: Williams & Wilkins, Baltimore1968: 607
        • Cockayne EA
        The genetics of transposition of the viscera.
        Quart J Med. 1938; 7: 479-493
        • Torgersen J
        Genie factors in visceral asymmetry and in the development and pathologic changes of the lungs, heart and abdominal organs.
        Arch Path (Chicago). 1949; 47: 566-593
        • Arcilla RA
        • Gasul BM
        Congenital dextrocardia: clinical, angiocardiographic, and autopsy studies on 50 patients.
        J Pediat. 1961; 58: 39-58
        • Feldt RH
        • Avasthey P
        • Yoshimasu F
        • et al.
        Incidence of congenital heart disease in children born to residents of Olmsted County, Minnesota, 1950–1969.
        in: third edition. Mayo Clin Proc. 46. 1971: 794-799
        • Keith JD
        • Rowe RD
        • Vlad P
        Heart Disease in Infancy and Childhood.
        in: Macmillan, New York1958: 539
        • Ayres SM
        • Steinberg I
        Dextrorotation of the heart: an angiocardiographic study of forty-one cases.
        Circulation. 1963; 27: 268-274
        • Elliott LP
        • Schiebler GL
        X-ray Diagnosis of Congenital Cardiac Disease.
        in: Charles C Thomas, Springfield, Ill1968: 221
        • Hanson JS
        • Tabakin BS
        Primary and secondary dextrocardia: their differentiation and the role of cineangiocardiography in diagnosing associated congenital cardiac defects.
        Amer J Cardiol. 1961; 8: 275-281
        • Adams R
        • Churchill ED
        Situs inversus, sinusitis, bronchiectasis: a report of five cases, including frequency statistics.
        J Thorac Cardiovasc Surg. 1937; 7: 206-216
        • Kartagener M
        • Stucki P
        Bronchiectasis with situs inversus.
        Arch Pediat. 1962; 79: 193-207
        • Perloff JK
        The Clinical Recognition of Congenital Heart Disease.
        in: WB Saunders, Philadelphia1970: 16
        • Fowler NO
        Cardiac Diagnosis.
        in: Hoeber Medical Division, Harper & Row, New York1968: 154-157
        • Gentile C
        Dextrocardia congenita aislada sin inversion de las cavidades cardiacas asociada a hipertrofia ventricular izquierda e infarto miocardico anteroseptal.
        Rev Argent Cardiol. 1948; 15: 286-297
        • Moriyama IM
        • Krueger DE
        • Stamler J
        Cardiovascular Diseases in the United States.
        in: Harvard University Press, Cambridge, Mass1971: 49-52
        • Enos WF
        • Holmes RH
        • Beyer J
        Coronary disease among United States soldiers killed in action in Korea: preliminary report.
        JAMA. 1953; 152: 1090-1093
        • Gordon T
        • Kannel WB
        Premature mortality from coronary heart disease: the Framingham study.
        JAMA. 1971; 215: 1617-1625
        • Titus JL
        • Oxman HA
        • Nobrega FT
        • et al.
        Sudden unexpected deaths as the initial manifestation of ischemie heart disease: clinical and pathologic observations (abstr).
        Amer J Cardiol. 1970; 26: 662-663
        • Titus JL
        • Oxman HA
        • Nobrega FT
        • et al.
        Sudden unexpected death as the initial manifestation of ischemie heart disease: clinical and pathologic observations (abstr).
        Circulation. 1971; 44: 234
        • Merideth J
        Cardiac arrhythmias in the postoperative patient.
        Surg Clin N Amer. 1969; 49: 1083-1094
        • Friedberg CK
        Diseases of the Heart.
        in: third edition. WB Saunders, Philadelphia1966: 741-744
        • Hurst JW
        • Logue RB
        The Heart, Arteries, and Veins.
        in: second edition. McGraw-Hill, New York1970: 952-954
        • Ptashkin D
        • Stein E
        • Warbasse JR
        Congenital dextrocardia with anterior wall myocardial infarction.
        Amer Heart J. 1967; 74: 263-267