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Disparity between the arrangement of the abdominal vessels and the bronchial tree and atrial appendages in a patient with mirror-imaged venous return

Published online by Cambridge University Press:  19 August 2008

Nikos D. Soukias ,
Elliot A. Shinebourne  and
Julene S. Carvalho
Nikos D. Soukias
Affiliation:
Department of Paediatric Cardiology, Royal Brompton Hospital, London
Elliot A. Shinebourne
Affiliation:
Department of Paediatric Cardiology, Royal Brompton Hospital, London
Julene S. Carvalho*
Affiliation:
Department of Paediatric Cardiology, Royal Brompton Hospital, London
*
J.S. Carvalho, Royal Brompton Hospital, Sydney Street, LondonSW3 6NP. Tel. 0171-3518541; Fax. 0171-3518544.
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Summary

Either arrangement of the abdominal vessels or the morphology of the bronchial tree are usually used to predict atrial arrangement. We report a patient in whom, in the setting of normal physiology as seen with mirror-imaged venous return, and due to disparity between the arrangement of the abdominal vessels (suggestive of right isomerism) and thoracic arrangement (indicative for left isomerism), atrial arrangement could not be inferred. Direct echocardiographic imaging of both appendages revealed left isomerism.

Keywords

Left isomerismatrial arrangementcongenital heart diseaseechocardiographyright-sided heart
Type
Brief Reports
Information
Cardiology in the Young , Volume 8 , Issue 2 , April 1998 , pp. 247 - 249
Copyright
Copyright © Cambridge University Press 1998

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