Dextrocardiawith situs viscerum inversus totalis in a 65 year old man: a case report

Abstract

We report a 65 year old hypertensive and type 2 diabetic low income male observed during physical examination to have right sided cardiac apex and heart sounds. Radiologic, electrocardiography, echocardiography and computed tomogram scan studies confirmed dextrocardia with situs viscerum inversus totalis. There was neither coexisting congenital cardiac anomaly nor disconcordant atrio-ventricular connection. In spite of being diabetic and hypertensive, he had no evidence of ischaemic heart disease. The blood pressure and blood glucose were adequately controlled using appropriate agents. This case, to our knowledge, may be the documented oldest Nigerian with situs inversus dextrocardia, and shows that individuals with this rare thoracic-abdominal organ developmental anomaly may have normal life expectancy similar to the general population.

Keywords: Dextrocardia, situs inversus.