Echocardiographic detection of mesocardia, situs solitus associated with multiple congenital heart defects in a neonate: Rare case report

Akhil Mehrotra 1, *, Faiz Illahi Siddiqui 2 and Mohammad Shaban 2

1 Chief, Pediatric and Adult Cardiology, Prakash Heart Station, Nirala Nagar, Lucknow, UP, India.
2 Cardiac Technician, Prakash Heart Station, Nirala Nagar, Lucknow, UP, India.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(01), 1621–1632
Article DOI: 10.30574/wjarr.2024.22.1.1174
 
Publication history: 
Received on 07 March 2024; revised on 18 April 2024; accepted on 21 April 2024
 
Abstract: 
Mesocardia is a condition in which the heart is longitudinally oriented along its long axis in the midline. Cardiac position refers to the anatomical position of the left ventricular apex in the thorax. The heart has three positions: dextrocardia or right-sided heart, levocardia or left-sided heart, mesocardia or midline heart. Mesocardia is extremely rare. It represents only 0.2% of cardiac anomalies. Mesocardia is usually associated with cardiac structural abnormalities, heterotaxy syndrome, chromosomal disorders and genetic syndromes. Occasionally, it is an isolated finding.
We are presenting an interesting case report of severely symptomatic neonate afflicted with mesocardia, situs solitus, moderate sized atrial septal defect (ASD) and large ventricular septal defect (VSD).
 
Keywords: 
Mesocardia; Cardiac malposition; Inlet VSD; Cardiac position
 
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