dextrocardia

Introduction

Congenital anomaly with the viscera reversed so that the heart is on the right side (a mirror image of the normal).

Etiology

• ciliary dyskinesia (15%)

Genetics

• associated with defects in DNAH11

Clinical manifestations

• patients are asymptomatic
• apical impulse on right side

Diagnostic procedures

• electrocardiogram:
  • inverted P waves
  • inverted T waves
  • QRS negative in ECG lead I & lead II

Radiology

cardiac silhouette on right (mirror image)

More general terms

• congenital heart disease; congenital cyanotic heart disease
• situs inversus