VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report
Abstract Background Situs inversus with dextrocardia (SI-DC) is rarely associated with congenital heart defects. Traditionally, ventricular septal defect (VSD) in such patients has been managed surgically. Percutaneous VSD device closure in SI-DC, albeit a suitable alternative, has been seldom repor...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-07-01
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| Series: | The Egyptian Heart Journal |
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| Online Access: | https://doi.org/10.1186/s43044-025-00665-9 |
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| author | Abhimanyu Uppal Bhushan Shah Rambabu Sharma Ashok Garg |
| author_facet | Abhimanyu Uppal Bhushan Shah Rambabu Sharma Ashok Garg |
| author_sort | Abhimanyu Uppal |
| collection | DOAJ |
| description | Abstract Background Situs inversus with dextrocardia (SI-DC) is rarely associated with congenital heart defects. Traditionally, ventricular septal defect (VSD) in such patients has been managed surgically. Percutaneous VSD device closure in SI-DC, albeit a suitable alternative, has been seldom reported. The present report describes the unique challenges of mirror-image cardiac anatomy and suggests technical modifications for successful percutaneous closure. Case summary A 4-year-old boy, previously diagnosed with SI-DC and a moderate-size perimembranous VSD, presented with a history of poor weight gain and dyspnea. A 2D echocardiogram indicated that the septal defect was suitable for device closure. The procedure was adapted to account for the altered cardiac anatomy by adjusting the fluoroscopic angles and wire-torquing maneuvers. A Konar-multifunction occluder device MFO® 7-5mm was successfully deployed via retrograde approach without complications utilizing hemodynamic and echocardiographic guidance. No excess contrast volume or fluoroscopic radiation dose was used during the procedure due to meticulous pre-procedure planning. Conclusion VSD device closure in atypical scenarios like SI-DC is both safe and feasible with thorough pre-procedure planning tailored to the "mirror image" cardiac anatomy. |
| format | Article |
| id | doaj-art-321b63bb0d544b878fe3a1565f36b3ec |
| institution | Kabale University |
| issn | 2090-911X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj-art-321b63bb0d544b878fe3a1565f36b3ec2025-08-20T04:01:36ZengSpringerOpenThe Egyptian Heart Journal2090-911X2025-07-017711710.1186/s43044-025-00665-9VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case reportAbhimanyu Uppal0Bhushan Shah1Rambabu Sharma2Ashok Garg3Priyanka Hospital and cardiac centerAIIMS BhopalJK Lon hospitalMD General Medicine, Priyanka Hospital and cardiac centerAbstract Background Situs inversus with dextrocardia (SI-DC) is rarely associated with congenital heart defects. Traditionally, ventricular septal defect (VSD) in such patients has been managed surgically. Percutaneous VSD device closure in SI-DC, albeit a suitable alternative, has been seldom reported. The present report describes the unique challenges of mirror-image cardiac anatomy and suggests technical modifications for successful percutaneous closure. Case summary A 4-year-old boy, previously diagnosed with SI-DC and a moderate-size perimembranous VSD, presented with a history of poor weight gain and dyspnea. A 2D echocardiogram indicated that the septal defect was suitable for device closure. The procedure was adapted to account for the altered cardiac anatomy by adjusting the fluoroscopic angles and wire-torquing maneuvers. A Konar-multifunction occluder device MFO® 7-5mm was successfully deployed via retrograde approach without complications utilizing hemodynamic and echocardiographic guidance. No excess contrast volume or fluoroscopic radiation dose was used during the procedure due to meticulous pre-procedure planning. Conclusion VSD device closure in atypical scenarios like SI-DC is both safe and feasible with thorough pre-procedure planning tailored to the "mirror image" cardiac anatomy.https://doi.org/10.1186/s43044-025-00665-9Situs inversus with dextrocardiaMirror-image dextrocardiaVentricular septal defectDevice closureRetrograde VSD closureCase report |
| spellingShingle | Abhimanyu Uppal Bhushan Shah Rambabu Sharma Ashok Garg VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report The Egyptian Heart Journal Situs inversus with dextrocardia Mirror-image dextrocardia Ventricular septal defect Device closure Retrograde VSD closure Case report |
| title | VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report |
| title_full | VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report |
| title_fullStr | VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report |
| title_full_unstemmed | VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report |
| title_short | VSD device closure in situs inversus with dextrocardia: technical challenges and solutions: a case report |
| title_sort | vsd device closure in situs inversus with dextrocardia technical challenges and solutions a case report |
| topic | Situs inversus with dextrocardia Mirror-image dextrocardia Ventricular septal defect Device closure Retrograde VSD closure Case report |
| url | https://doi.org/10.1186/s43044-025-00665-9 |
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