1/17. liver transplantation from situs inversus to situs inversus.Congenital anatomic anomalies often present technical obstacles during liver transplantation. biliary atresia (BA) is the most common indication for liver transplantation in children, and up to 28% of children with situs inversus are complicated by BA. A boy aged 2 years 11 months with BA, situs inversus, and dextrocardia received a liver transplant from his father. The donor also had situs inversus and dextrocardia without other anomalies. Graft function was excellent postoperatively, and no significant complications were encountered. This is only the second report of the successful use of a living related donor graft for a patient with BA and situs inversus. This case was particularly rare because the donor also had situs inversus, which made the present procedure more feasible.- - - - - - - - - - ranking = 1keywords = liver (Clic here for more details about this article) |
2/17. Transhepatic closure of a post-fontan hepatic veins to left atrium fenestration in visceral heterotaxia and dextrocardia.This article reports on the transhepatic closure of post-Fontan hepatic veins to left atrium fenestration in a 13-year-old girl with left atrial isomerism, dextrocardia, azygos continuation to the left superior vena cava, and median liver. The transhepatic route seemed to be the less tortuous access to the fenestration which was previously partially occluded with a CardioSeal device. The hepatic veins were entered at the left abdominal side using fluoroscopic guidance and the fenestration was uneventfully occluded with an Amplatzer septal occluder device.- - - - - - - - - - ranking = 6.1838200726574keywords = hepatic, liver (Clic here for more details about this article) |
3/17. Fatal cardiovascular complications in a patient with ehlers-danlos syndrome type IV and dextrocardia.A report is presented of a 31 year female patient with ehlers-danlos syndrome type IV who presented a bilateral renal artery dissection and a hematoma of the ascending aorta simultaneously. She had had an uneventful delivery six months before. We also discovered a situs solitus with dextrocardia in this patient. These complications were managed conservatively. Unfortunately the patient died of a pulmonary infection and a multi-organ failure syndrome several days after her admission.- - - - - - - - - - ranking = 0.33333333333333keywords = liver (Clic here for more details about this article) |
4/17. A case of acute aortic dissection type A in a patient with situs inversus.We report a case of acute aortic dissection type A in a patient with situs inversus. A 33-year-old male, complaining of sudden chest pain, visited our institute. Contrast-enhanced computed tomography and echocardiography suggested Stanford type A acute aortic dissection and dextrocardia. Aortic root and ascending aortic replacement were successfully performed. Antegrade brain-isolated extracorporeal circulation was established. The aortic branch arteries were mirror-image reversed. Anatomic positional relationships and presence or absence of concurrent anomalies should be sufficiently investigated preoperatively in patients with dextrocardia. His postoperative course was uneventful and a postoperative computed tomographic scan confirmed a good result.- - - - - - - - - - ranking = 9.5071100810455keywords = circulation (Clic here for more details about this article) |
5/17. Laparoscopic cholecystectomy in situs inversus totalis.A 51-year-old woman with known dextrocardia presented with left-sided abdominal pain and symptoms consistent with biliary colic and cholelithiasis. Abdominal ultrasound confirmed the diagnosis of gallstones, as well as situs inversus with the liver and gallbladder on the left side and the spleen on the right. Laparoscopic cholecystectomy was performed without incident. The procedure was uncomplicated except for being the mirror image of that done with the gallbladder in the normal location. cholelithiasis occurring with situs inversus is rare and may present a diagnostic problem. The extrahepatic anatomy of the biliary and venous system is the mirror image of the right sided liver. Historic and genetic aspects of situs inversus, as well as current theories regarding its etiology are presented. situs inversus totalis does not appear to be a contraindication to laparoscopic treatment of cholelithiasis.- - - - - - - - - - ranking = 1.154207228277keywords = hepatic, liver (Clic here for more details about this article) |
6/17. Orthotopic liver transplantation with abdominal situs inversus and dextrocardia.Anatomic anomalies may present technical difficulties during orthotopic liver transplantation. Abdominal situs inversus was considered a contraindication to liver transplantation. A successful liver transplant in a patient with both situs inversus and dextrocardia is described, along with a technical review.- - - - - - - - - - ranking = 2.3333333333333keywords = liver (Clic here for more details about this article) |
7/17. dextrocardia with situs inversus: a case report.We present a 24-year-old lady who reported at the radiology department, UBTH benin City for a chest radiograph, as part of her pre-employment medical examination. She was asymptomatic, her past medical history was not significant and physical examination revealed an apex beat located on the 5th right intercoastal space. The chest radiograph confirmed dextrocardia and also revealed the gastric air bubble on the right, which was suggestive of situs inversus totalis. barium meal examination confirmed the right-sided position of the stomach, in keeping with situs inversus. ultrasonography revealed a left sided liver and gall bladder, with a right sided location of the spleen.- - - - - - - - - - ranking = 0.33333333333333keywords = liver (Clic here for more details about this article) |
8/17. dextrocardia, situs inversus and severe mitral stenosis in a pregnant woman: successful closed commissurotomy.A 16-weeks' pregnant woman with situs inversus and dextrocardia underwent successful closed commissurotomy for severe mitral stenosis. The electrocardiogram revealed sinus rhythm with right axis deviation and progressive diminishing of QRS amplitude towards the left precordial leads. The chest X-ray showed dextrocardia with situs inversus. Doppler echocardiography depicted severe mitral stenosis; the mitral valve area increased from 0.9 cm2 pre-operatively to 1.8 cm2 post-operatively with mild increase of mitral regurgitation from grade I to II post-valvotomy. She also had associated mild functional tricuspid insufficiency and moderate pulmonary hypertension. No thrombo-embolic complications occurred intra- or post-operatively. There was no evidence of either clinical or Doppler restenosis. The course of pregnancy was uneventful. At 39 weeks a healthy baby was vaginally delivered. The patient is still free of cardiac symptoms.- - - - - - - - - - ranking = 0.33333333333333keywords = liver (Clic here for more details about this article) |
9/17. Anesthetic management of labor in a patient with dextrocardia, congenitally corrected transposition, wolff-parkinson-white syndrome, and congestive heart failure.Labor and delivery greatly stress the cardiovascular system. In this patient with underlying congenital heart disease and congestive heart failure, hemodynamic stability was maintained with a combination of lumbar epidural and caudal epidural anesthesia.- - - - - - - - - - ranking = 0.33333333333333keywords = liver (Clic here for more details about this article) |
10/17. Sonography of extrathoracic left-to-right shunts in infants and children.Experience with high-resolution, real-time sonography of four infants with differing extrathoracic left-to-right shunts is presented. Intracranial and parahepatic arteriovenous malformations gave rise to congestive heart failure as their primary or sole manifestation. Partial anomalous pulmonary venous return to the inferior vena cava in one patient and to the portal vein in another was associated with other congenital cardiac anomalies. Once an arteriovenous malformation was suspected, sonography was useful as the initial imaging procedure to localize it and to direct attention to the most useful and least hazardous studies for detailed evaluation.- - - - - - - - - - ranking = 0.48754056161034keywords = hepatic (Clic here for more details about this article) |
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