Dextrocardia: An anomaly that few know about

It was during a routine medical evaluation in her second pregnancy that Jenifer Gonzalez first heard that she had a right-sided heart. She was shocked, as she had led a completely normal life without knowing that she had a congenital anomaly.

This anomaly is called dextrocardia, and like Gonzalez, very few know about it, since dextrocardia occurs in 0.01% of the population, and has a 3-5% incidence rate associated with congenital heart disease, affecting men and women equally, explains Dr. Carlos Brito Reynoso, an internist cardiologist.

The physician pointed out that dextrocardia is usually accompanied by an anomaly called situs inversus (of 125 patients with dextrocardia, 39.2% have situs inversus), which consists of the organs being on the opposite side to the one they should be on, affecting only the odd organs, which are located on a certain side of the body, such as the liver, pancreas, stomach and cecum.

Its cause? The specialist maintains that it is a defect of embryonic development, of genetic origin. This occurs during the fourth week of embryonic development, at which time the primitive heart tube bends to the right, when it should normally bend to the left.

Although it is mostly discovered as an incidental finding to confirm suspicions, the physician can make the diagnosis with an adequate physical examination, which is part of every medical evaluation.

The health professional will always use some tests such as chest X-rays, echocardiogram, magnetic resonance imaging, electrocardiogram and tomography to make a correct diagnosis and rule out other associated congenital malformations.

Dr. Brito Reynoso pointed out that without other associated congenital malformations, infants with simple dextrocardia have an absolutely normal life expectancy, presenting no clinical or symptomatology associated with it during their development.

This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.