Dextrocardia classification

Dextrocardia Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Dextrocardia from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History & Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-Ray
Echocardiography or Ultrasound
CT Scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
Defibrillation
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Dextrocardia classification On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Dextrocardia classification All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Dextrocardia classification
CDC on Dextrocardia classification
Dextrocardia classification in the news
Blogs on Dextrocardia classification
Directions to Hospitals Treating Type page name here
Risk calculators and risk factors for Dextrocardia classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Although there is no established system in classifying dextrocardia, it may be categorized according to its relationship with some congenital cardiac anomalies including situs inversus, situs solitus, and situs ambiguous.

Classification

There is no established system for the classification of dextrocardia but it may be categorized with some of the congenital cardiac anomalies that may be seen in association with it:

Dextrocardia Types	Description
Dextrocardia with situs solitus	Dextrocardia with normally related great arteries and D-transposition (complete transposition) or L-transposition (congenitally corrected transposition) of the great arteries. Some examples include dextrocardia with D-loop ventricles and normally related great arteries, with L-loop ventricles and L-TGA (congenitally corrected TGA). Embryologic failure of the final leftward shift of the ventricles during development results in dextrocardia with situs solitus, D-loop ventricles, and normally related great arteries.
Dextrocardia with situs inversus	May present with dextrocardia with inversely related great arteries and D-transposition (congenitally corrected transposition) or L-transposition (“uncorrected” transposition) of the great arteries. An example is dextrocardia with D-loop ventricles and D-TGA (congenitally corrected TGA).
Dextrocardia with situs ambiguous (either polyspenia or asplenia)	Dextrocardia with any of the above relationships between the ventricles and great vessels.