Myocardial Perfusion SPECT Imaging in Dextrocardia with Situs Inversus: A Case Report

Ayeni, Olusegun Akinwale and Malan, Nico and Hammond, Emmanuel Niiboye and Vangu, Mboyo-Di-Tamba Heben (2016) Myocardial Perfusion SPECT Imaging in Dextrocardia with Situs Inversus: A Case Report. Asia Oceania Journal of Nuclear Medicine and Biology, 4 (2). pp. 109-112.

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Dextrocardia is a cardiac positional anomaly in which the heart is located in the right hemithorax with its base-to-apex axis directed to the right and caudad. Situs inversus is an autosomal recessive disorder that causes organs in the chest and abdomen to be positioned in a mirror image from their normal position. Dextrocardia may occur in isolation or as part of situs inversus. Similarly, situs inversus may occur with or without dextrocardia. Situs inversus accompanied with dextrocardia (situs inversus totalis) is a rare congenital abnormality occurring in 0.01 of live births. Herein, we present the case of a 35-yearold man with previously diagnosed situs inversus totalis with mirror-image dextrocardia, referred to our facility for diagnosis of coronary artery disease (CAD). The incidence and presentation of CAD in patients with dextrocardiaare similar to the normal population. However, considerable attention should be paid to the acquisition of myocardial perfusion scintigraphy and data processing/analysis in this group of patients. The present case highlights thedistinctive applications and potential pitfalls of myocardial perfusion single photon emission computed tomography (SPECT) imaging in patients with dextrocardia.

Item Type: Article
Subjects: WN Radiology . Diagnostic Imaging
Divisions: Journals > Asia Oceania J Nuclear Medicine & Biology
Depositing User: AOJNMB AOJNMB
Date Deposited: 19 Sep 2017 12:46
Last Modified: 19 Sep 2017 12:46

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