Document Detail


A case of right isomerism showing long survival without surgery.
MedLine Citation:
PMID:  17330698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report an autopsy case of right isomerism in a 42-year-old Japanese man. Although he had not undergone any surgical intervention, he was healthy and did not exhibit any symptoms of heart failure. The cardiac findings indicated right isomerism with complex and severe cardiac malformations, including a morphologically common atrium, common atrioventricular valve, double inlet right ventricle, total anomalous pulmonary venous drainage, pulmonary outflow obstruction, pulmonary atresia, and major aortopulmonary collaterals from the descending aorta. He had no spleen, and exhibited some gastrointestinal malformations. The absence of risk factors for mortality from right isomerism, such as pulmonary venous obstruction, AV valve regurgitation, sepsis or severe arrhythmia, might have contributed to the longevity of this patient. The presence of pulmonary outflow obstruction that is reported to confer a better prognosis might also have contributed to his longevity.
Authors:
Keiko Matsuura; Shinichiro Akizuki; Natsuki Nakamura; Hatsue Ishibashi-Ueda; Masatsugu Moriyama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  100     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-03-02     Completed Date:  2007-03-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  218-21     Citation Subset:  AIM; IM    
Affiliation:
Department of Molecular Pathology, Faculty of Medicine, Oita University, Yufu-city, Oita, Japan. matsuura@med.oita-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / pathology*
Adult
Autopsy
Coronary Vessel Anomalies / pathology*
Diagnosis, Differential
Fatal Outcome
Follow-Up Studies
Heart Atria / abnormalities*
Heart Defects, Congenital / pathology*
Heart Ventricles / abnormalities*
Humans
Male
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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