Situs inversus with mirror-image of the heart is a rare condition. The present report describes a case of a patient with dextrocardia with situs inversus who had atrial septal defect with multiple holes in the fossa ovalis. The patient underwent total endoscopic atrial septal defect repair using the da Vinci surgical system. This procedure was achieved safely with good clinical and excellent co...

We report the case of a patient with situs inversus totalis, annuloaortic ectasia complicated by aortic insufficiency and mitral regurgitation which induced congestive heart failure. Both valvular lesions were repaired physiologically using aortic root sparing Yacoub 'remodeling' technique and mitral ring annuloplasty. Valve sparing techniques can be used effectively even in patients with compl...

Tall R waves in lead V1 present the life insurance company medical director with a diagnostic dilemma. This ECG pattern may be present in applicants with right bundle branch block, right ventricular hypertrophy, Wolff-Parkinson-White syndrome, posterior myocardial infarction, hypertrophic cardiomyopathy, muscular dystrophy, dextrocardia, misplaced precordial leads, as well as in normal individu...

Sekctive coronary artedography by the Judkins' technique cao he readily accomplished in dextrocprdin. CinersdialCrspbs should be obtained in tbe mirror image obliquities for each coronary vessel and card&c cbamher. To avoid any potentid error of identitication and interpretation of the coronary vessels, films could he reviewed in revenre fashion, which would project the cardiac stnretwesasiftbe...

A 34-year-old Puerto Rican w-as admitted to Lincoln Hospital February 10, 1956, complaining of chest pains, vomiting, marked dyspnea, and ankle edema. According to the mother, the childmwas normal at birth and developed normally to about the age of 8. Then he began to develop a deformity of his back and to show cyanosis. Dyspnea on exertion, cyanosis, and deformity of the back became progressiv...