SlideShare a Scribd company logo

EMGuideWire's Radiology Reading Room: Situs Anomalies

S
S
Sean M. FoxProfessor of Emergency Medicine & Pediatrics

The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Situs Anomalies and is brought to you by Dominic Nicacio, MD, Andrew Yde, MD, Jorge Alegria, MD, and Laszlo Littmann, MD.

EMGuideWire's Radiology Reading Room: Situs Anomalies

1 of 46
Download to read offline
Situs Anomalies
Michael A. Gibbs, MD, Lead Editor
Carolinas Medical Center Imaging Mastery Project
Dominic Nicacio, MD, Andrew Yde, MD,
Jorge Alegria, MD Laszlo Littmann, MD
Departments of Emergency Medicine & Internal Medicine
Sanger Heart & Vascular Institute
Carolinas Medical Center
Visit Our Website
www.EMGuidewire.com
For A Complete Archive Of Chest X-Ray Presentations And Much More!
Airway
Bones
Cardiac
Diaphragm
Effusion
Foreign body
Gastric
Hilum
It’s All About The Anatomy!
Embedded References
Maldijan PD. Approach To Dextrocardia In Adults. American Journal Of Radiology. 2007; 188;S39-
S49.
Winter JE. Recognition of Anterior STEMI in Dextrocardia and the Importance of Right-Sided Chest
Leads. Journal of The American College of Cardiology. 2020; 2(8):1222-1226.
Gentile BA. Situs Inversus Totalis. New England Journal of Medicine. 2019; 380:e45.
Celik AI. Acute Anterior Myocardial Infarction in a Patient with Dextrocardia and Situs Inversus.
Journal of the American College of Cardiology. 2020; 2(8):1220-1221.
Situs Nomenclature
Determined by the relationship between the atria and adjacent organs:
• Situs solitus
• Situs solitus with dextrocadia
• Situs inversus with dextrocardia
• Situs inversus with levocardia
• Situs ambiguous

Recommended

Drs. Lorenzen and Barlock’s CMC X-Ray Mastery Project: September Cases
Drs. Lorenzen and Barlock’s CMC X-Ray Mastery Project: September CasesDrs. Lorenzen and Barlock’s CMC X-Ray Mastery Project: September Cases
Drs. Lorenzen and Barlock’s CMC X-Ray Mastery Project: September CasesSean M. Fox
 
EMGuideWire's Radiology Reading Room: Mechanical Circulatory Support Devices
EMGuideWire's Radiology Reading Room: Mechanical Circulatory Support DevicesEMGuideWire's Radiology Reading Room: Mechanical Circulatory Support Devices
EMGuideWire's Radiology Reading Room: Mechanical Circulatory Support DevicesSean M. Fox
 
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: March Cases
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: March CasesDrs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: March Cases
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: March CasesSean M. Fox
 
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: August C...
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: August C...Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: August C...
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: August C...Sean M. Fox
 
EMGuideWire's Radiology Reading Room: Hypertrophic Cardiomyopathy
EMGuideWire's Radiology Reading Room: Hypertrophic CardiomyopathyEMGuideWire's Radiology Reading Room: Hypertrophic Cardiomyopathy
EMGuideWire's Radiology Reading Room: Hypertrophic CardiomyopathySean M. Fox
 
EMGuideWire's Radiology Reading Room: Stress-Induced Cardiomyopathy
EMGuideWire's Radiology Reading Room: Stress-Induced CardiomyopathyEMGuideWire's Radiology Reading Room: Stress-Induced Cardiomyopathy
EMGuideWire's Radiology Reading Room: Stress-Induced CardiomyopathySean M. Fox
 
Drs. Milam and Thomas's CMC X-Ray Mastery Project: November Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: November CasesDrs. Milam and Thomas's CMC X-Ray Mastery Project: November Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: November CasesSean M. Fox
 
Dr. Michael Gibbs's CMC X-Ray Mastery Project - Week #3 Cases
Dr. Michael Gibbs's CMC X-Ray Mastery Project - Week #3 CasesDr. Michael Gibbs's CMC X-Ray Mastery Project - Week #3 Cases
Dr. Michael Gibbs's CMC X-Ray Mastery Project - Week #3 CasesSean M. Fox
 

More Related Content

What's hot

EMGuideWire's Radiology Reading Room: Pleural Effusions
EMGuideWire's Radiology Reading Room: Pleural EffusionsEMGuideWire's Radiology Reading Room: Pleural Effusions
EMGuideWire's Radiology Reading Room: Pleural EffusionsSean M. Fox
 
EMGuideWire's Radiology Reading Room: Septic Pulmonary Emboli
EMGuideWire's Radiology Reading Room: Septic Pulmonary EmboliEMGuideWire's Radiology Reading Room: Septic Pulmonary Emboli
EMGuideWire's Radiology Reading Room: Septic Pulmonary EmboliSean M. Fox
 
Dr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesDr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesSean M. Fox
 
EMGuideWire's Radiology Reading Room: Aortic Dissection
EMGuideWire's Radiology Reading Room: Aortic DissectionEMGuideWire's Radiology Reading Room: Aortic Dissection
EMGuideWire's Radiology Reading Room: Aortic DissectionSean M. Fox
 
EMGuideWire's Radiology Reading Room: Pericardial Effusion
EMGuideWire's Radiology Reading Room: Pericardial EffusionEMGuideWire's Radiology Reading Room: Pericardial Effusion
EMGuideWire's Radiology Reading Room: Pericardial EffusionSean M. Fox
 
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July casesDrs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July casesSean M. Fox
 
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April Cases
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April CasesDrs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April Cases
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April CasesSean M. Fox
 
Dr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 Cases
Dr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 CasesDr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 Cases
Dr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 CasesSean M. Fox
 
Drs. Milam and Thomas's CMC X-Ray Mastery Project: August Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: August CasesDrs. Milam and Thomas's CMC X-Ray Mastery Project: August Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: August CasesSean M. Fox
 
EMGuideWire's Radiology Reading Room: Pneumonia
EMGuideWire's Radiology Reading Room: PneumoniaEMGuideWire's Radiology Reading Room: Pneumonia
EMGuideWire's Radiology Reading Room: PneumoniaSean M. Fox
 
Drs. Escobar’s CMC X-Ray Mastery Project: November Cases
Drs. Escobar’s CMC X-Ray Mastery Project: November CasesDrs. Escobar’s CMC X-Ray Mastery Project: November Cases
Drs. Escobar’s CMC X-Ray Mastery Project: November CasesSean M. Fox
 
Natural history of Pre tricuspid shunts
Natural history of Pre tricuspid shuntsNatural history of Pre tricuspid shunts
Natural history of Pre tricuspid shuntsdrabhishekbabbu
 
ECG changes in anorexia nervosa
ECG changes in anorexia nervosaECG changes in anorexia nervosa
ECG changes in anorexia nervosaSimon Daley
 
Blunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed Tomography
Blunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed TomographyBlunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed Tomography
Blunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed Tomographyasclepiuspdfs
 
Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...
Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...
Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...João Antônio Granzotti
 
Chapter 26 biomedical technologies
Chapter 26 biomedical technologiesChapter 26 biomedical technologies
Chapter 26 biomedical technologiesSTUDY INNOVATIONS
 
Radiation Associated Cardiac Disease
Radiation Associated Cardiac DiseaseRadiation Associated Cardiac Disease
Radiation Associated Cardiac Diseasemagdy elmasry
 
Trials and errors in cardiovascular medicine 2013
Trials and errors in cardiovascular medicine  2013Trials and errors in cardiovascular medicine  2013
Trials and errors in cardiovascular medicine 2013Ramachandra Barik
 
Carotid revascularization in cad patients
Carotid revascularization in cad patientsCarotid revascularization in cad patients
Carotid revascularization in cad patientsDIPAK PATADE
 
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...Sean M. Fox
 

What's hot (20)

EMGuideWire's Radiology Reading Room: Pleural Effusions
EMGuideWire's Radiology Reading Room: Pleural EffusionsEMGuideWire's Radiology Reading Room: Pleural Effusions
EMGuideWire's Radiology Reading Room: Pleural Effusions
 
EMGuideWire's Radiology Reading Room: Septic Pulmonary Emboli
EMGuideWire's Radiology Reading Room: Septic Pulmonary EmboliEMGuideWire's Radiology Reading Room: Septic Pulmonary Emboli
EMGuideWire's Radiology Reading Room: Septic Pulmonary Emboli
 
Dr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesDr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December Cases
 
EMGuideWire's Radiology Reading Room: Aortic Dissection
EMGuideWire's Radiology Reading Room: Aortic DissectionEMGuideWire's Radiology Reading Room: Aortic Dissection
EMGuideWire's Radiology Reading Room: Aortic Dissection
 
EMGuideWire's Radiology Reading Room: Pericardial Effusion
EMGuideWire's Radiology Reading Room: Pericardial EffusionEMGuideWire's Radiology Reading Room: Pericardial Effusion
EMGuideWire's Radiology Reading Room: Pericardial Effusion
 
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July casesDrs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
 
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April Cases
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April CasesDrs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April Cases
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April Cases
 
Dr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 Cases
Dr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 CasesDr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 Cases
Dr. Michael Gibbs's CMC X Ray Mastery Project - Week #8 Cases
 
Drs. Milam and Thomas's CMC X-Ray Mastery Project: August Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: August CasesDrs. Milam and Thomas's CMC X-Ray Mastery Project: August Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: August Cases
 
EMGuideWire's Radiology Reading Room: Pneumonia
EMGuideWire's Radiology Reading Room: PneumoniaEMGuideWire's Radiology Reading Room: Pneumonia
EMGuideWire's Radiology Reading Room: Pneumonia
 
Drs. Escobar’s CMC X-Ray Mastery Project: November Cases
Drs. Escobar’s CMC X-Ray Mastery Project: November CasesDrs. Escobar’s CMC X-Ray Mastery Project: November Cases
Drs. Escobar’s CMC X-Ray Mastery Project: November Cases
 
Natural history of Pre tricuspid shunts
Natural history of Pre tricuspid shuntsNatural history of Pre tricuspid shunts
Natural history of Pre tricuspid shunts
 
ECG changes in anorexia nervosa
ECG changes in anorexia nervosaECG changes in anorexia nervosa
ECG changes in anorexia nervosa
 
Blunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed Tomography
Blunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed TomographyBlunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed Tomography
Blunt Trauma of a Horseshoe Kidney: Diagnosis Made on a Computed Tomography
 
Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...
Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...
Internacional Journal of Cardiology .....Correção Cirurgica de Aneurisma da A...
 
Chapter 26 biomedical technologies
Chapter 26 biomedical technologiesChapter 26 biomedical technologies
Chapter 26 biomedical technologies
 
Radiation Associated Cardiac Disease
Radiation Associated Cardiac DiseaseRadiation Associated Cardiac Disease
Radiation Associated Cardiac Disease
 
Trials and errors in cardiovascular medicine 2013
Trials and errors in cardiovascular medicine  2013Trials and errors in cardiovascular medicine  2013
Trials and errors in cardiovascular medicine 2013
 
Carotid revascularization in cad patients
Carotid revascularization in cad patientsCarotid revascularization in cad patients
Carotid revascularization in cad patients
 
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...
 

Similar to EMGuideWire's Radiology Reading Room: Situs Anomalies

Aortic arch anomalies
Aortic arch anomaliesAortic arch anomalies
Aortic arch anomaliesVarun Babu
 
Lady with a big heart arrhythmogenic right ventricular dysplasia ijar feb 2015
Lady with a big heart arrhythmogenic right ventricular dysplasia   ijar feb 2015Lady with a big heart arrhythmogenic right ventricular dysplasia   ijar feb 2015
Lady with a big heart arrhythmogenic right ventricular dysplasia ijar feb 2015Sachin Adukia
 
The International Journal of Engineering and Science (The IJES)
The International Journal of Engineering and Science (The IJES)The International Journal of Engineering and Science (The IJES)
The International Journal of Engineering and Science (The IJES)theijes
 
heterotaxy syndrome.pptx
heterotaxy syndrome.pptxheterotaxy syndrome.pptx
heterotaxy syndrome.pptxaachiewaka
 
Congenital heart diseases2020
Congenital heart diseases2020Congenital heart diseases2020
Congenital heart diseases2020RiyadhWaheed
 
Cc no adulto I
Cc no adulto ICc no adulto I
Cc no adulto Igisa_legal
 
20 l manganaro rm fetale utilita’ e limiti
20 l manganaro rm fetale utilita’ e limiti20 l manganaro rm fetale utilita’ e limiti
20 l manganaro rm fetale utilita’ e limitiPiccoloGrandeCuore
 
2-Fetal Echo part 2 Dr Ahmed Esawy
2-Fetal Echo part 2 Dr Ahmed Esawy2-Fetal Echo part 2 Dr Ahmed Esawy
2-Fetal Echo part 2 Dr Ahmed EsawyAHMED ESAWY
 
Bicuspid aortic valve pattern
Bicuspid aortic valve patternBicuspid aortic valve pattern
Bicuspid aortic valve patternPraveen Kumar
 
situs.pptx
situs.pptxsitus.pptx
situs.pptxabelllll
 
Ebstein - revisão 2005
Ebstein -  revisão 2005Ebstein -  revisão 2005
Ebstein - revisão 2005gisa_legal
 
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic ArchFetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Archpateldrona
 
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic ArchFetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Archclinicsoncology
 
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic ArchFetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Archnavasreni
 

Similar to EMGuideWire's Radiology Reading Room: Situs Anomalies (20)

Aortic Arches A REVIEW E POSTER
Aortic Arches A REVIEW E POSTERAortic Arches A REVIEW E POSTER
Aortic Arches A REVIEW E POSTER
 
ECG: Cardiac Malpositions
ECG: Cardiac MalpositionsECG: Cardiac Malpositions
ECG: Cardiac Malpositions
 
Aortic arch anomalies
Aortic arch anomaliesAortic arch anomalies
Aortic arch anomalies
 
Lady with a big heart arrhythmogenic right ventricular dysplasia ijar feb 2015
Lady with a big heart arrhythmogenic right ventricular dysplasia   ijar feb 2015Lady with a big heart arrhythmogenic right ventricular dysplasia   ijar feb 2015
Lady with a big heart arrhythmogenic right ventricular dysplasia ijar feb 2015
 
Ebstein's anomaly
Ebstein's anomalyEbstein's anomaly
Ebstein's anomaly
 
The International Journal of Engineering and Science (The IJES)
The International Journal of Engineering and Science (The IJES)The International Journal of Engineering and Science (The IJES)
The International Journal of Engineering and Science (The IJES)
 
heterotaxy syndrome.pptx
heterotaxy syndrome.pptxheterotaxy syndrome.pptx
heterotaxy syndrome.pptx
 
Congenital heart diseases2020
Congenital heart diseases2020Congenital heart diseases2020
Congenital heart diseases2020
 
Dextrocardia
DextrocardiaDextrocardia
Dextrocardia
 
Cc no adulto I
Cc no adulto ICc no adulto I
Cc no adulto I
 
20 l manganaro rm fetale utilita’ e limiti
20 l manganaro rm fetale utilita’ e limiti20 l manganaro rm fetale utilita’ e limiti
20 l manganaro rm fetale utilita’ e limiti
 
2-Fetal Echo part 2 Dr Ahmed Esawy
2-Fetal Echo part 2 Dr Ahmed Esawy2-Fetal Echo part 2 Dr Ahmed Esawy
2-Fetal Echo part 2 Dr Ahmed Esawy
 
multiple absence
multiple absence multiple absence
multiple absence
 
5Year Old Patient
5Year Old Patient5Year Old Patient
5Year Old Patient
 
Bicuspid aortic valve pattern
Bicuspid aortic valve patternBicuspid aortic valve pattern
Bicuspid aortic valve pattern
 
situs.pptx
situs.pptxsitus.pptx
situs.pptx
 
Ebstein - revisão 2005
Ebstein -  revisão 2005Ebstein -  revisão 2005
Ebstein - revisão 2005
 
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic ArchFetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
 
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic ArchFetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
 
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic ArchFetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
Fetal Vascular Rings: Beyond The Anomalies of The Aortic Arch
 

More from Sean M. Fox

Adult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
Adult Orthopedic Imaging Series: Presentation #2 Native Hip DislocationsAdult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
Adult Orthopedic Imaging Series: Presentation #2 Native Hip DislocationsSean M. Fox
 
Neuroimaging Mastery Project: Presentation #5 Subdural Hematomas
Neuroimaging Mastery Project: Presentation #5 Subdural HematomasNeuroimaging Mastery Project: Presentation #5 Subdural Hematomas
Neuroimaging Mastery Project: Presentation #5 Subdural HematomasSean M. Fox
 
Neuroimaging Mastery Project Presentation #4: Acute Epidural Hematomas
Neuroimaging Mastery Project Presentation #4: Acute Epidural HematomasNeuroimaging Mastery Project Presentation #4: Acute Epidural Hematomas
Neuroimaging Mastery Project Presentation #4: Acute Epidural HematomasSean M. Fox
 
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow Fractures
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow FracturesPediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow Fractures
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow FracturesSean M. Fox
 
Adult Orthopedic Imaging Mastery Project - Pelvic Ring Fractures
Adult Orthopedic Imaging Mastery Project - Pelvic Ring FracturesAdult Orthopedic Imaging Mastery Project - Pelvic Ring Fractures
Adult Orthopedic Imaging Mastery Project - Pelvic Ring FracturesSean M. Fox
 
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptx
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptxNeurosurgical Intracranial Infections - FINAL 10-17-23.pptx
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptxSean M. Fox
 
CMC Neuroimaging Case Studies - Cerebral Venous Sinus Thrombosis
CMC Neuroimaging Case Studies - Cerebral Venous Sinus ThrombosisCMC Neuroimaging Case Studies - Cerebral Venous Sinus Thrombosis
CMC Neuroimaging Case Studies - Cerebral Venous Sinus ThrombosisSean M. Fox
 
Abdominal Imaging Case Studies #27.pptx
Abdominal Imaging Case Studies #27.pptxAbdominal Imaging Case Studies #27.pptx
Abdominal Imaging Case Studies #27.pptxSean M. Fox
 
Blood Can Be Very Very Bad - CMC Neuroimaging Case Studies
Blood Can Be Very Very Bad - CMC Neuroimaging Case StudiesBlood Can Be Very Very Bad - CMC Neuroimaging Case Studies
Blood Can Be Very Very Bad - CMC Neuroimaging Case StudiesSean M. Fox
 
Adult Chest X-Rays Of The Month - #46
Adult Chest X-Rays Of The Month - #46Adult Chest X-Rays Of The Month - #46
Adult Chest X-Rays Of The Month - #46Sean M. Fox
 
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane Oxygenation
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane OxygenationMedical Device Imaging Mastery Project #4: Extracorporeal Membrane Oxygenation
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane OxygenationSean M. Fox
 
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Sean M. Fox
 
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...Sean M. Fox
 
CMC Pediatric X-Ray Mastery: 27th Case Series
CMC Pediatric X-Ray Mastery: 27th Case SeriesCMC Pediatric X-Ray Mastery: 27th Case Series
CMC Pediatric X-Ray Mastery: 27th Case SeriesSean M. Fox
 
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...Sean M. Fox
 
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Sean M. Fox
 
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case Series
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case SeriesDrs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case Series
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case SeriesSean M. Fox
 
CMC Pediatric X-Ray Mastery: 26th Case Series
CMC Pediatric X-Ray Mastery: 26th Case SeriesCMC Pediatric X-Ray Mastery: 26th Case Series
CMC Pediatric X-Ray Mastery: 26th Case SeriesSean M. Fox
 
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...Sean M. Fox
 
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April CasesDrs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April CasesSean M. Fox
 

More from Sean M. Fox (20)

Adult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
Adult Orthopedic Imaging Series: Presentation #2 Native Hip DislocationsAdult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
Adult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
 
Neuroimaging Mastery Project: Presentation #5 Subdural Hematomas
Neuroimaging Mastery Project: Presentation #5 Subdural HematomasNeuroimaging Mastery Project: Presentation #5 Subdural Hematomas
Neuroimaging Mastery Project: Presentation #5 Subdural Hematomas
 
Neuroimaging Mastery Project Presentation #4: Acute Epidural Hematomas
Neuroimaging Mastery Project Presentation #4: Acute Epidural HematomasNeuroimaging Mastery Project Presentation #4: Acute Epidural Hematomas
Neuroimaging Mastery Project Presentation #4: Acute Epidural Hematomas
 
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow Fractures
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow FracturesPediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow Fractures
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow Fractures
 
Adult Orthopedic Imaging Mastery Project - Pelvic Ring Fractures
Adult Orthopedic Imaging Mastery Project - Pelvic Ring FracturesAdult Orthopedic Imaging Mastery Project - Pelvic Ring Fractures
Adult Orthopedic Imaging Mastery Project - Pelvic Ring Fractures
 
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptx
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptxNeurosurgical Intracranial Infections - FINAL 10-17-23.pptx
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptx
 
CMC Neuroimaging Case Studies - Cerebral Venous Sinus Thrombosis
CMC Neuroimaging Case Studies - Cerebral Venous Sinus ThrombosisCMC Neuroimaging Case Studies - Cerebral Venous Sinus Thrombosis
CMC Neuroimaging Case Studies - Cerebral Venous Sinus Thrombosis
 
Abdominal Imaging Case Studies #27.pptx
Abdominal Imaging Case Studies #27.pptxAbdominal Imaging Case Studies #27.pptx
Abdominal Imaging Case Studies #27.pptx
 
Blood Can Be Very Very Bad - CMC Neuroimaging Case Studies
Blood Can Be Very Very Bad - CMC Neuroimaging Case StudiesBlood Can Be Very Very Bad - CMC Neuroimaging Case Studies
Blood Can Be Very Very Bad - CMC Neuroimaging Case Studies
 
Adult Chest X-Rays Of The Month - #46
Adult Chest X-Rays Of The Month - #46Adult Chest X-Rays Of The Month - #46
Adult Chest X-Rays Of The Month - #46
 
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane Oxygenation
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane OxygenationMedical Device Imaging Mastery Project #4: Extracorporeal Membrane Oxygenation
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane Oxygenation
 
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
 
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...
 
CMC Pediatric X-Ray Mastery: 27th Case Series
CMC Pediatric X-Ray Mastery: 27th Case SeriesCMC Pediatric X-Ray Mastery: 27th Case Series
CMC Pediatric X-Ray Mastery: 27th Case Series
 
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...
 
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...
 
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case Series
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case SeriesDrs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case Series
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case Series
 
CMC Pediatric X-Ray Mastery: 26th Case Series
CMC Pediatric X-Ray Mastery: 26th Case SeriesCMC Pediatric X-Ray Mastery: 26th Case Series
CMC Pediatric X-Ray Mastery: 26th Case Series
 
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...
 
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April CasesDrs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: April Cases
 

Recently uploaded

ACTIVIDAD DE CLASE No 1 - SOPA DE LETRAS
ACTIVIDAD DE CLASE No 1 - SOPA DE LETRASACTIVIDAD DE CLASE No 1 - SOPA DE LETRAS
ACTIVIDAD DE CLASE No 1 - SOPA DE LETRASMaria Lucia Céspedes
 
The Ministry of Utmost Happiness by Arundhati Roy
The Ministry of Utmost Happiness by Arundhati RoyThe Ministry of Utmost Happiness by Arundhati Roy
The Ministry of Utmost Happiness by Arundhati RoyTrushali Dodiya
 
Grantseeking Solo- Securing Awards with Limited Staff PDF.pdf
Grantseeking Solo- Securing Awards with Limited Staff  PDF.pdfGrantseeking Solo- Securing Awards with Limited Staff  PDF.pdf
Grantseeking Solo- Securing Awards with Limited Staff PDF.pdfTechSoup
 
UniSC Moreton Bay Library self-guided tour
UniSC Moreton Bay Library self-guided tourUniSC Moreton Bay Library self-guided tour
UniSC Moreton Bay Library self-guided tourUSC_Library
 
50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...
50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...
50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...Nguyen Thanh Tu Collection
 
Intuition behind Monte Carlo Markov Chains
Intuition behind Monte Carlo Markov ChainsIntuition behind Monte Carlo Markov Chains
Intuition behind Monte Carlo Markov ChainsTushar Tank
 
Appendicular SkeletonSystem PPT.....pptx
Appendicular SkeletonSystem PPT.....pptxAppendicular SkeletonSystem PPT.....pptx
Appendicular SkeletonSystem PPT.....pptxRenuka N Sunagad
 
ICSE English Literature Class X Handwritten Notes
ICSE English Literature Class X Handwritten NotesICSE English Literature Class X Handwritten Notes
ICSE English Literature Class X Handwritten NotesGauri S
 
UniSC Sunshine Coast library self-guided tour
UniSC Sunshine Coast library self-guided tourUniSC Sunshine Coast library self-guided tour
UniSC Sunshine Coast library self-guided tourUSC_Library
 
EDL 290F Week 1 - Meet Me at the Start Line.pdf
EDL 290F Week 1 - Meet Me at the Start Line.pdfEDL 290F Week 1 - Meet Me at the Start Line.pdf
EDL 290F Week 1 - Meet Me at the Start Line.pdfElizabeth Walsh
 
Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...
Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...
Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...Rabiya Husain
 
Introduction of General Pharmacology PPT.pptx
Introduction of General Pharmacology PPT.pptxIntroduction of General Pharmacology PPT.pptx
Introduction of General Pharmacology PPT.pptxRenuka N Sunagad
 
D.pharmacy Pharmacology 4th unit notes.pdf
D.pharmacy Pharmacology 4th unit notes.pdfD.pharmacy Pharmacology 4th unit notes.pdf
D.pharmacy Pharmacology 4th unit notes.pdfSUMIT TIWARI
 
mean stack mean stack mean stack mean stack
mean stack mean stack  mean stack  mean stackmean stack mean stack  mean stack  mean stack
mean stack mean stack mean stack mean stackNuttavutThongjor1
 
Practical Research 1: Nature of Inquiry and Research.pptx
Practical Research 1: Nature of Inquiry and Research.pptxPractical Research 1: Nature of Inquiry and Research.pptx
Practical Research 1: Nature of Inquiry and Research.pptxKatherine Villaluna
 
UniSC Fraser Coast library self-guided tour
UniSC Fraser Coast library self-guided tourUniSC Fraser Coast library self-guided tour
UniSC Fraser Coast library self-guided tourUSC_Library
 
Writing Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdf
Writing Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdfWriting Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdf
Writing Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdfMr Bounab Samir
 
IR introduction Introduction, Principle & Theory
IR introduction Introduction, Principle & TheoryIR introduction Introduction, Principle & Theory
IR introduction Introduction, Principle & Theorynivedithag131
 
Shapley Tech Talk - SHAP and Shapley Discussion
Shapley Tech Talk - SHAP and Shapley DiscussionShapley Tech Talk - SHAP and Shapley Discussion
Shapley Tech Talk - SHAP and Shapley DiscussionTushar Tank
 

Recently uploaded (20)

ACTIVIDAD DE CLASE No 1 - SOPA DE LETRAS
ACTIVIDAD DE CLASE No 1 - SOPA DE LETRASACTIVIDAD DE CLASE No 1 - SOPA DE LETRAS
ACTIVIDAD DE CLASE No 1 - SOPA DE LETRAS
 
The Ministry of Utmost Happiness by Arundhati Roy
The Ministry of Utmost Happiness by Arundhati RoyThe Ministry of Utmost Happiness by Arundhati Roy
The Ministry of Utmost Happiness by Arundhati Roy
 
Grantseeking Solo- Securing Awards with Limited Staff PDF.pdf
Grantseeking Solo- Securing Awards with Limited Staff  PDF.pdfGrantseeking Solo- Securing Awards with Limited Staff  PDF.pdf
Grantseeking Solo- Securing Awards with Limited Staff PDF.pdf
 
UniSC Moreton Bay Library self-guided tour
UniSC Moreton Bay Library self-guided tourUniSC Moreton Bay Library self-guided tour
UniSC Moreton Bay Library self-guided tour
 
50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...
50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...
50 ĐỀ THI THỬ TỐT NGHIỆP THPT TIẾNG ANH 2024 CÓ GIẢI CHI TIẾT - GIỚI HẠN KHO...
 
Intuition behind Monte Carlo Markov Chains
Intuition behind Monte Carlo Markov ChainsIntuition behind Monte Carlo Markov Chains
Intuition behind Monte Carlo Markov Chains
 
Appendicular SkeletonSystem PPT.....pptx
Appendicular SkeletonSystem PPT.....pptxAppendicular SkeletonSystem PPT.....pptx
Appendicular SkeletonSystem PPT.....pptx
 
ICSE English Literature Class X Handwritten Notes
ICSE English Literature Class X Handwritten NotesICSE English Literature Class X Handwritten Notes
ICSE English Literature Class X Handwritten Notes
 
first section physiology laboratory.pptx
first section physiology laboratory.pptxfirst section physiology laboratory.pptx
first section physiology laboratory.pptx
 
UniSC Sunshine Coast library self-guided tour
UniSC Sunshine Coast library self-guided tourUniSC Sunshine Coast library self-guided tour
UniSC Sunshine Coast library self-guided tour
 
EDL 290F Week 1 - Meet Me at the Start Line.pdf
EDL 290F Week 1 - Meet Me at the Start Line.pdfEDL 290F Week 1 - Meet Me at the Start Line.pdf
EDL 290F Week 1 - Meet Me at the Start Line.pdf
 
Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...
Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...
Barrow Motor Ability Test - TEST, MEASUREMENT AND EVALUATION IN PHYSICAL EDUC...
 
Introduction of General Pharmacology PPT.pptx
Introduction of General Pharmacology PPT.pptxIntroduction of General Pharmacology PPT.pptx
Introduction of General Pharmacology PPT.pptx
 
D.pharmacy Pharmacology 4th unit notes.pdf
D.pharmacy Pharmacology 4th unit notes.pdfD.pharmacy Pharmacology 4th unit notes.pdf
D.pharmacy Pharmacology 4th unit notes.pdf
 
mean stack mean stack mean stack mean stack
mean stack mean stack  mean stack  mean stackmean stack mean stack  mean stack  mean stack
mean stack mean stack mean stack mean stack
 
Practical Research 1: Nature of Inquiry and Research.pptx
Practical Research 1: Nature of Inquiry and Research.pptxPractical Research 1: Nature of Inquiry and Research.pptx
Practical Research 1: Nature of Inquiry and Research.pptx
 
UniSC Fraser Coast library self-guided tour
UniSC Fraser Coast library self-guided tourUniSC Fraser Coast library self-guided tour
UniSC Fraser Coast library self-guided tour
 
Writing Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdf
Writing Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdfWriting Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdf
Writing Agony Letter & If type O+1 & Diphthongs + Text “Arab Science”.pdf
 
IR introduction Introduction, Principle & Theory
IR introduction Introduction, Principle & TheoryIR introduction Introduction, Principle & Theory
IR introduction Introduction, Principle & Theory
 
Shapley Tech Talk - SHAP and Shapley Discussion
Shapley Tech Talk - SHAP and Shapley DiscussionShapley Tech Talk - SHAP and Shapley Discussion
Shapley Tech Talk - SHAP and Shapley Discussion
 

EMGuideWire's Radiology Reading Room: Situs Anomalies

  • 1. Situs Anomalies Michael A. Gibbs, MD, Lead Editor Carolinas Medical Center Imaging Mastery Project Dominic Nicacio, MD, Andrew Yde, MD, Jorge Alegria, MD Laszlo Littmann, MD Departments of Emergency Medicine & Internal Medicine Sanger Heart & Vascular Institute Carolinas Medical Center
  • 2. Visit Our Website www.EMGuidewire.com For A Complete Archive Of Chest X-Ray Presentations And Much More!
  • 4. It’s All About The Anatomy!
  • 5. Embedded References Maldijan PD. Approach To Dextrocardia In Adults. American Journal Of Radiology. 2007; 188;S39- S49. Winter JE. Recognition of Anterior STEMI in Dextrocardia and the Importance of Right-Sided Chest Leads. Journal of The American College of Cardiology. 2020; 2(8):1222-1226. Gentile BA. Situs Inversus Totalis. New England Journal of Medicine. 2019; 380:e45. Celik AI. Acute Anterior Myocardial Infarction in a Patient with Dextrocardia and Situs Inversus. Journal of the American College of Cardiology. 2020; 2(8):1220-1221.
  • 6. Situs Nomenclature Determined by the relationship between the atria and adjacent organs: • Situs solitus • Situs solitus with dextrocadia • Situs inversus with dextrocardia • Situs inversus with levocardia • Situs ambiguous
  • 7. Situs Solitus • Normal anatomy Situs Solitus With Dextrocardia • Mirror image positioning of the heart only Situs Inversus With Dextrocardia [Totalis] • Mirror image positioning of all thoracoabdominal viscera Situs Inversus With Levocardia • Mirror image positioning of all abdominal viscera • Descending aorta on the right (concordant with situs inversus) Situs Ambiguous • Also called situs heterotaxy, any arrangement of organs between the spectrum of situs solitus (normal positioning) and situs inversus totalis
  • 8. dextrocardia, the descending aorta, cardiac apex, and stomach are all on the right. In situs solitus with dextrocardia, the descending aorta and stomach are on the left (normal), but the cardiac apex is on the right. In situs inversus with levocardia, the descending aorta and stomach are on the right (situs inversus), but the cardiac apex is on the left. Figure 3-8 Schematic illustrations of the anatomic relationships of the descending aorta, left atrium, cardiac apex, and stomach in the four basic cardiac positions (normal and three malpositions). In situs solitus, the descending aorta, left atrium, cardiac apex, and stomach are all on the left. In situs inversus with dextrocardia, the descending aorta, left atrium, cardiac apex, and stomach are all on the right. In situs solitus with dextrocardia, the descending aorta, left atrium, and stomach are on the left (normal), but the cardiac apex is on the right. In situs inversus with levocardia, the descending aorta, left atrium, and stomach are on the right (situs inversus), but the cardiac apex is on the left. (RA = right atrium; LA = left atrium; RV = right
  • 14. 3-11 X-ray from a 2-year-old girl in situs inversus with levocardia. The stomach (S) is on the right and the liver (L) is on the left, but the heart (apex) is to the left of mid midiaphragm is lower than the right hemidiaphragm because the cardiac apex is on the left. The descending thoracic aorta (DAo) is on the right (concordant for situs inversus of the ascending aorta (AAo) indicates a discordant d-bulboventricular loop. Situs Inversus And Levocardia: The stomach (S) is on the right and the liver (L) on the left. The left hemidiaphragm is lower because the cardiac apex is no the left. The descending thoracic aorta (DAo) is on the right (concordant with situs inversus, but the ascending aortic (AAo) is on the left.
  • 15. Primary Ciliary Dyskinesia • Primary ciliary dyskinesia is an inherited disorder of abnormally functioning cilia • Abnormally functioning cilia of the epithelial cells necessary for correct thoracoabdominal orientation during embryogenesis • Approximately 25% of patients with situs inversus totalis have primary ciliary dyskinesia • Kartagener’s Syndrome defines a subset of primary ciliary dyskinesia patients with with classic triad: situs inversus totalis, sinusitis and bronchiectasis
  • 17. Epidemiology Dextrocardia Situs Inversus Totalis Incidence 1 in 12,000 1 in 10,000 Genetic Inheritance Inconclusive Autosomal recessive in patients with Primary Ciliary Dyskinesia Risk Factors  Males and females are affected equally  Maternal cocaine use is associated with an increased incidence Associated Conditions  Transposition of great vessels, double inlet ventricles, tricuspid atresia, polysplenia
  • 19. Clinical Presentation Dextrocardia1,2,3:  Asymptomatic  Characteristic ECG findings Situs Inversus1,2,3:  Opposite sided abdominal complaints in acute hepatobiliary, gastric, and appendiceal pathology Kartagener’s syndrome1,2:  Chronic sinusitis and otitis media  Bronchiectasis  Infertility common in males 1Right-sided heart tones. 2Sequelea of any other associated congenital heart disease. 3Characteristic ECG findings.
  • 20. Situs Anomalies Cases Studies From Carolinas Medical Center
  • 22. Normal Position Situs Solitus Liver Diaphragm Higher On The Right Gastric Bubble Cardiac Apex Descending Aorta On The Left Spleen
  • 24. Diaphragm Higher On The Left Situs Inversus With Dextrocardia Liver Gastric Bubble
  • 27. Situs Inversus With Dextrocardia Gastric Bubbler Diaphragm Higher On The Left Liver
  • 28. Healthy 42- Year-Old Has An Incidental Finding On Chest X-Ray
  • 29. Situs Inversus With Dextrocardia Gastric Bubbler Liver
  • 31. Diaphragm Higher On The Left Situs Inversus With Dextrocardia Gastric Bubbler Liver
  • 33. Situs Solitus With Dextrocardia Gastric Bubble Liver
  • 35. Situs Solitus With Dextrocardia Gastric Bubble Liver
  • 36. Liver Situs Solitus And Dextrocardia
  • 37. Classic ECG Findings • Inverted complexes in I, aVL • Upright complexes in aVR • Low voltage V3-V6 • No R wave progression • Right axis deviation • Normal EKG with lead reversal
  • 46. If You Have Interesting Cases Of Situs Anomalies We Invite You To Send A Set Of Digital PDF Images And A Brief Clinical History To: michael.gibbs@atriumhealth.org Your De-Identified Case(s) Will Be Posted On Our Education Website And You And Your Institution Will Be Recognized!