We report the case of an asymptomatic six-year-old child with left atrial isomerism and sinus venosus atrial septal defect. The physical examination revealed several periods of bradycardia. During a 24-hour electrocardiographic monitoring the patient presented a significant sinus node dysfunction with sinus pauses of up to 2.4 seconds. A permanent pacemaker was implanted, with a satisfactory ou...

Three classes of hydrogen-bonded capsules with imperfect walls have been prepared and characterized. The defects reduce the symmetry of the capsules, leading to rich isomerism. The missing hydrogen bonds provide additional flexibility to the capsules and exert an influence on their guest binding properties in different assemblies.

The crystal structure of the title compound, C(16)H(26)NO(2) (+)·C(18)H(13)O(8) (-), is stabilized by an extensive network of classical N-H⋯O and O-H⋯O hydrogen bonding. The crystal structure also shows an ammonium-driven diastereo-isomerism.

OBJECTIVES Patients with left atrial isomerism and interrupted inferior vena cava palliated with a superior cavopulmonary connection or Kawashima procedure (KP) have a high incidence of developing pulmonary arteriovenous malformations. The necessity for hepatic vein redirection (HVR) and its timing remains a controversy. We aimed to assess the clinical outcome of patients with left atrial isome...

Heterotaxy syndrome is a rare, complex, and confusing type of the situs anomalies. It is not possible to estimate the degree of lateralization, isomerism, and rotational variation in these types of cases. Heart and abdominal organ anatomy is specific to the individual, and it should be defined specifically on the basis of each case due to possible cardiac and extracardiac surgical interventions...

Ruthenium nitrosyl complexes have received considerable attention due to the fact that they are able to store, transfer and release NO in a controlled manner. It is well-known that the NO reactivity of ruthenium nitrosyl complexes can be modulated with the judicious choice of equatorial and axial ligands. In this piece of research we elucidate the nature of the Ru-NO and Ru-NO2 bonding in a cis...

In the research of QSAR and QSPR correlations, topological indices such as Randi’c index, Zagreb ABC geometric-arithmetic index have been proposed to analyze bio-compatibility chemical compounds. Chemical graph theory is combination Chemistry Graph theory, this deals with topology mathematical study isomerism development which has applications in QSPR. article, we consider Octahedron networks f...

Ivemark syndrome or right atrial isomerism is a rare syndrome of asplenia / hyposplenia with malformation of heart and abnormal arrangement of internal organs of chest and abdomen and is classified under heterotaxy disorder. We describe here the case of a 14 year old boy diagnosed with asplenia, dextrocardia with double outlet right ventricle and midline liver.

The first synthetic attempt commencing from an eight-membered ring to approach the [5.3.1] bicyclic core of vinigrol has demonstrated the feasibility of using the conformational bias of the cyclooctane-ring system to realize highly diastereoselective reactions. The synthetic potential of the newly disclosed access to in/out isomerism may stimulate broader interests.

To cite: Haththotuwa HR, Dubrey SW. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201046 DESCRIPTION At first glance these chest radiographs appear similar. Closer inspection suggests ‘dextrocardia’ (figure 1A) and ‘dextroposition’ (figure 1B). Confusing terminology is helped if the heart’s position within the thorax and point of direction of the apex is des...