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Cardiac Malpositions Including Ectopia Cordis and Congenital Pericardial Defect

  • Chapter
Neonatal Heart Disease

Abstract

We explored in Chapter 10 the basic tenets of a segmental and sequential approach to congenital heart malformations, using an amalgam of those thoughts of Richard Van Praagh and Robert H. Anderson. Their principles distilled in that chapter are germane not just for the relatively straightforward types of congenitally malformed hearts, but are essential to the understanding and unravelling of those complex heart malformations characterized by an abnormal cardiac position, or a cardiac position thought abnormal for the visceral and atrial situs.

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References

  1. Afzelius BA, Eliasson R, Johnsen O, Lindholmer C (1975) Lack of dynein arms in immotile human spermatozoa. J Cell Bio166: 225–232

    Google Scholar 

  2. Anderson RH, Yen Ho S (1989) Editorial note: segmental interconnexions versus topological congruency in complex congenital malformations. Int J Cardio125: 229–233

    Google Scholar 

  3. Anderson RH, Sharma S, Ho S-Y, Zuberbuhler JR, Macartney FJ (1986) Splenic syndromes, “situs ambiguous” and atrial isomerism. Rev Latina de Card Inf 2: 97–100

    Google Scholar 

  4. Anderson RH, Macartney FJ, Shinebourne EA, Tynan M (1987) Paediatric cardiology. Churchill Livingstone, Edinburgh, pp 1057–1072

    Google Scholar 

  5. Arciniegas JG, Soto B, Coghlan HC, Bargeron Jr LM (1981) Congenital heart malformations: sequential angiographic analysis. AJR 137: 673–681

    PubMed  CAS  Google Scholar 

  6. Bairov GA, Leibov SL, Popv AA (1979) Ectocardia. Vestn Khir 122: 63

    CAS  Google Scholar 

  7. Baker WP, Schlang HA, Ballenger FP (1965) Congenitalpartial absence of the pericardium. Am J Cardiol 16: 133–136

    Article  PubMed  CAS  Google Scholar 

  8. Bharati S, Lev M (1978) The course of the conduction system in dextrocardia. Circulation. 57: 163–171

    PubMed  CAS  Google Scholar 

  9. Bharati S, Lev M (1979) Positional variations of the heart and its component chambers. Circulation 59: 886–887

    PubMed  CAS  Google Scholar 

  10. Blieden LC, Moller JH (1973) Analysis of the P-wave in congenital cardiac malformations associated with splenic anomalies. Am Heart J 85: 439–444

    Article  PubMed  CAS  Google Scholar 

  11. Boxall R (1887) Incomplete pericardial sac: escape of heart into left pleural cavity. Trans Obstet Soc Lond 28: 209

    Google Scholar 

  12. Brandt PWT, Calder AL (1977) Cardiac connections: the segmental approach to radiologic diagnosis in congenital heart disease. Diagn Radiol VII: 3–35

    Google Scholar 

  13. Bruning EGH (1962) Congenital defect of the pericardium. J Clin Pathol 15: 133–135

    Article  PubMed  CAS  Google Scholar 

  14. Burrows PE, Smallhorn JF, Trusler GA, Daneman A, Moes CAF, Rowe RD (1987) Partial absence of the left parietal pericardium with herniation of the left atrial appendage: diagnosis by cross-sectional echocardiography and contrast-enhanced computed tomography. Pediatr Cardiol 8: 205–208

    Article  PubMed  CAS  Google Scholar 

  15. Byron F (1948) Ectopia cordis: report of a case with attempted operative correction. J Thorac Surg 17: 717–722

    PubMed  CAS  Google Scholar 

  16. Calcaterra G, Anderson RH, Lau KC, Shinebourne EA (1979) Dextrocardia-value of segmental analysis in its categorisation. Br Heart J 42: 497–507

    Article  PubMed  CAS  Google Scholar 

  17. Cantrell JR, Haller JA, Ravitch MM (1958) A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet 107: 602–614

    PubMed  CAS  Google Scholar 

  18. Carty JE, Deverell PB, Losowsky MS (1975) Pericardial defect presenting as acute pericarditis. Br Heart J 37: 98–100

    Article  PubMed  CAS  Google Scholar 

  19. Caruso G, Becker AE (1979) How to determine atrial situs? Considerations initiated by three cases of absent spleen with a discordant anatomy between bronchi and atria. Br Heart J 41: 559–567

    Article  PubMed  CAS  Google Scholar 

  20. Ceballos R, Soto B, Bargeron Jr LM (1981) Angiographic anatomy of the normal heart through axial angiography. Circulation 64: 351–359

    Article  PubMed  CAS  Google Scholar 

  21. Chacko KA, Krishnaswami S, Sukumar IP, Cherian G (1983) Isolated levocardia: two cases with abdominal situs inversus, thoracic situs solitus and normal circulation. Am Heart J 106: 155–159

    Article  PubMed  CAS  Google Scholar 

  22. Chandramouly BS, Kihn RH, Flesh LH (1980) Dextro¬cardia with total situs inversus, radionuclide imaging and ultrasonography of liver and spleen. NY State J Med 80: 655

    CAS  Google Scholar 

  23. Ciman J, Augustinove A, Cizmarova E (1979) Congenital absence of the pericardium. Bratisl Lek Listy 71: 554

    Google Scholar 

  24. Clarkson PM, Brandt PWT, Barratt-Boyes BG, Neutze JM (1972) “Isolated atrial inversion”: visceral situs solitus, visceroatrial discordance, discordant ventricular d-loop without transposition, dextrocardia: diagnosis and surgical correction. Am J Cardiol 29: 877–881

    Google Scholar 

  25. De Garis CF (1934) Pericardial patency and partial ectocardia in a newborn orang-utan. Anat Rec 59: 69–82

    Article  Google Scholar 

  26. De la Cruz MV, Nadal-Ginard B (1972) Rules for the diagnosis of visceral situs, truncoconal morphologies, and ventricular inversions. Am Heart J 84: 19–32

    Article  PubMed  Google Scholar 

  27. De la Cruz MV, Anselmi G, Munos-Castellanos L, Nadal-Ginard B, Munoz-Armas S (1971) Systemization and embryological and anatomical study of mirror-image dextrocardias, dextroversions and laevo-versions. Br Heart J 38: 841–853

    Article  Google Scholar 

  28. De La Cruz MV, Amoedo M, Rivera F, Attie F (1974) Arterioventricular relations and their classification: two specimens of arterioventricular discordance and review of published reports. Br Heart J 36: 539–553

    Article  PubMed  Google Scholar 

  29. De la Cruz MV, Berrazueta JR, Arteaga M, Attie F, Soni J (1976) Rules for diagnosis of arterioventricular discordances and spatial identification of ventricles. Crossed great arteries and transposition of the great arteries. Br Heart J 38: 341–354

    Google Scholar 

  30. De Tommasi SM, Carminati M, Invernizzi P, Troiani P, Velitti F, Tiraboschi R (1980) Situs inversus con destrocardia, analisi delle cardiopatie congenite associate. G Ital Cardiol 10: 1192

    Google Scholar 

  31. De Tommasi SM, Daliento L, Ho S-Y, Macartney FJ, Anderson RH (1981) Analysis of atrioventricular junction, ventricular mass, and ventriculoarterial junction in 43 specimens with atrial isomerism. Br Heart J 45: 236–247

    Article  Google Scholar 

  32. Eliasson R, Mossberg B, Cammer P, Afzelius B (1977) The immotile-cilia syndrome, a congenital ciliary abnormality as an etiologic factor in chronic airway infections and male sterility. N Engl J Med 297: 1–3

    Article  PubMed  CAS  Google Scholar 

  33. Elliott LP (1978) An angiocardiographic and plain film approach to complex congenital heart disease: classification and simplified nomenclature. Cardiology 3: 5–64

    Google Scholar 

  34. Elliott LP, Cramer GG, Amplatz K (1966) The anomalous relationship of the inferior vena cava and abdominal aorta as a specific angiocardiographic sign in asplenia. Radiology 87: 859–861

    PubMed  CAS  Google Scholar 

  35. Fischer TJ, McAdams JA, Entis GN, Cotton R, Ghory JE, Ausdenmoore RW (1978) Middle ear ciliary defect in Kartagener’s syndrome. Pediatrics 62: 443–445

    PubMed  CAS  Google Scholar 

  36. Fitzer PM (1976) An approach to cardiac malposition and the heterotaxy syndrome using 99m Tc sulfur colloid imaging. AJR 127: 1021–1025

    PubMed  CAS  Google Scholar 

  37. Forde WJ Finby N (1961) Roentgenographic features of asplenia, a teratologic syndrome of visceral symmetry. AJR 86: 523–533

    Google Scholar 

  38. Freedom RM (1974) Aortic valve and arch anomalies in the congenital asplenia syndrome. Case report, literature review and re-examination of the embryology of the congenital asplenia syndrome. Johns Hopkins Med J 135: 124–135

    PubMed  CAS  Google Scholar 

  39. Freedom RM, Ellison RC (1973) Coronary sinus rhythm in the polysplenia syndrome. Chest 63: 952–958

    Article  PubMed  CAS  Google Scholar 

  40. Freedom RM, Fellows KE Jr (1972) Roentgenographic signs of congenital asplenia: an evaluation based on 32 necropsied cases. Pediatr Res 6: 345

    Google Scholar 

  41. Freedom RM, Fellows KE Jr (1973) Radiographic visceral patterns in the asplenia syndrome. Radiology 106: 387–391

    Google Scholar 

  42. Freedom RM, Treves S (1973) Splenic scintigraphy and radionuclide venography in the heterotaxy syndrome. Radiology 107: 381–386

    PubMed  CAS  Google Scholar 

  43. Freedom RM, Culham JAG, Moes CAF (1984) Angiocardiography of congenital heart disease. Macmillan, New York, pp 17–45 and 629–642

    Google Scholar 

  44. Garcia OL, Mehta AV, Pickoff AS et al. (1981) Left isomerism and complete atrioventricular block: a report of six cases. Am J Cardiol 48: 1103–1108

    Article  PubMed  CAS  Google Scholar 

  45. Garson A, Hawkins EP, Mullins CE, Edwards SB, Sabiston DC, Cooley DA (1978) Thoracoabdominal ectopia cordis with mosaic Turner’s syndrome: report of a case. Pediatrics 62: 218–222

    PubMed  Google Scholar 

  46. Greenberg ML, Curtiss EI, Follansbee WP (1985) Non-invasive diagnosis of mirror-image dextrocardia with thoracic-abdominal discordance. Am Heart J 109: 172–176

    Article  PubMed  CAS  Google Scholar 

  47. Grey DP, Cooley DA (1981) Dextrocardia with situs inversus totalis: cardiovascular surgery in three patients with concomitant coronary artery disease. Cardiovasc Dis Bull Texas Heart Inst 8: 527–531

    Google Scholar 

  48. Haider R, Thomas DGT, Ziady G, Cleland WP, Goodwin JF (1973) Congenital pericardioperitoneal communications with herniation of omentum into the pericardium: a rare cause of cardiomegaly. Br Heart J 35: 981–983

    Article  PubMed  CAS  Google Scholar 

  49. Harris TR, Rainey RL (1965) Ideal isolated levocardia. Am Heart J 70: 440–442

    Article  PubMed  CAS  Google Scholar 

  50. Huhta JC, Hagler DJ, Seward JB, Tajik AJ, Julsrud PR, Ritter DG (1982) Two-dimensional echocardiographic assessment of dextrocardia: a segmental approach. Am J Cardiol 50: 1351–1354

    Article  PubMed  CAS  Google Scholar 

  51. Jennings RB, Crisler C, Johnson DH, Brickman RD (1980) Tricuspid atresia with dextrotransposition, dextrocardia and mitral insufficiency: successful circulatory correction. Ann Thorac Surg 29: 369–372

    Article  PubMed  Google Scholar 

  52. Jones AF, McGrath RS, Edwards SM, Lilly JR (1979) Immediate operation for ectopia cordis. Ann Thorac Surg 28: 484–486

    Article  PubMed  CAS  Google Scholar 

  53. Jonsson MS, McCormick JR, Gillies CG, Gondos B (1982) Kartagener’s syndrome with motile spermatozoa. N Engl J Med 307: 1131–1133

    Article  PubMed  CAS  Google Scholar 

  54. Kanagasuntheram R, Verzin JA (1962) Ectopia cordis in man. Thorax 17: 159–162

    Article  PubMed  CAS  Google Scholar 

  55. Karczenski K, Woziewicz B (1978) Congenital heart diseases and types of position of viscera. Pediatr Pol 53: 1382

    Google Scholar 

  56. Kartagener M (1933) Zur Pathogenese der Bronchiektasian: Bronchiektasian bei situs viscerum inversus. Beitr Klin Tuberk 83: 489

    Article  Google Scholar 

  57. Kartagener M, Strucki P (1962) Bronchiectasis with situs inversus. Arch Pediatr 79: 193–196

    PubMed  CAS  Google Scholar 

  58. Katsuhara K, Kawamoto S, Wakabayashi T, Belsky JL (1972) Situs inversus totalis and Kartagener’s syndrome in a Japanese population. Chest 61: 56–59

    Article  PubMed  CAS  Google Scholar 

  59. King CR (1980) Ectopia cordis and chromosomal errors. Pediatrics 66: 328–330

    PubMed  CAS  Google Scholar 

  60. Landing BH, Lawrence T-YK, Payne Jr VC, Wells TR (1971) Bronchial anatomy in syndromes with abnormal visceral situs, abnormal spleen and congenital heart disease. Am J Cardiol 28: 456–460

    Article  PubMed  CAS  Google Scholar 

  61. Leachman RD, Angelini P, Cokkinos DV (1973) Hepato-atrial dissociation. Report of two cases and clinical implications. Chest 63: 926–932

    Google Scholar 

  62. Lev M (1954) Pathologic diagnosis of positional variations in cardiac chambers in congenital heart disease. Lab Invest 3: 71–82

    PubMed  CAS  Google Scholar 

  63. Lev M, Liberthson RR, Eckner FAO, Arcilla RA (1968) Pathologic anatomy of dextrocardia and its clinical implications. Circulation 37: 979–999

    PubMed  CAS  Google Scholar 

  64. Lev M, Liberthson RR, Golden JG,Eckner FAO, Arcilla RA (1971) The pathologic anatomy of mesocardia. Am J Cardiol 28: 428–435

    CAS  Google Scholar 

  65. Liberthson RR, Hastreiter AR, Sinha SN, Bharati S, Novak GM, Lev M (1973) Levocardia with visceral heterotaxy-isolated levocardia: pathologic anatomy and its clinical implications. Am Heart J 84: 40–54

    Article  Google Scholar 

  66. Lucas Jr RV, Neufeld HN, Lester RG, Edwards JE (1962) The symmetrical liver as a roentgen sign of asplenia. Circulation 25: 973–975

    PubMed  Google Scholar 

  67. Macartney FJ, Shinebourne EA, Anderson RH (1976) Connexions, relations, discordance, and distortions. Br Heart J 38: 323–326

    Article  PubMed  CAS  Google Scholar 

  68. Macartney FJ, Zuberbuhler JR, Anderson RH (1980) Morphological considerations pertaining to recognition of atrial isomerism: consequences for sequential chamber localisation. Br Heart J 44: 657–667

    Article  PubMed  CAS  Google Scholar 

  69. Major JW (1953) Thoracoabdominal ectopia cordis: report of a case successfully treated by surgery. J Thorac Surg 26: 309–317

    PubMed  CAS  Google Scholar 

  70. Matsuhisa M, Shimomura K, Beppu S, Nakajima K (1986) Jugular phlebogram in congenital absence of the pericardium. Am Heart J 112: 1004–1010

    Article  PubMed  CAS  Google Scholar 

  71. Milhouse FR, Joos HA (1959) Extrathoracic ectopia cordis: report of case and review of literature. Am Heart J 57: 470–476

    Article  Google Scholar 

  72. Miller RD, Divertie MB (1972) Kartagener’s syndrome. Chest 62: 130–135

    Article  PubMed  CAS  Google Scholar 

  73. Minocha GK, Falicov RE, Nijensohn E (1979) Partial right-sided congenital pericardial defect with herniation of right atrium and right ventricle. Chest 76: 484–486

    Article  PubMed  CAS  Google Scholar 

  74. Moller JH, Nakib A, Anderson RC, Edwards JE (1967) Congenital cardiac disease associated with polysplenia. A developmental complex of bilateral “left- sidedness”. Circulation 36: 789–799

    Google Scholar 

  75. Moller JH, Amplatz K, Wolfson J (1971) Malrotation of the bowel in patients with congenital heart disease associated with splenic anomalies. Radiology 99: 393–398

    PubMed  CAS  Google Scholar 

  76. Momma K, Linde LM (1969) Abnormal P-wave axis in congenital heart disease associated with asplenia and polysplenia. J Electrocardiol 2 (4): 395–402

    Article  PubMed  CAS  Google Scholar 

  77. Momma K, Linde LM (1970) Cardiac rhythms in dextrocardia. Am J Cardiol 25: 420–427

    Article  PubMed  CAS  Google Scholar 

  78. Momma K, Takao A, Shibata T (1990) Characteristics and natural history of abnormal atrial rhythms in left isomerism. Am J Cardiol 65: 231–236

    Article  PubMed  CAS  Google Scholar 

  79. Partridge J (1979) The radiological evaluation of atrial situs. Clin Radiol 30: 95–103

    Article  PubMed  CAS  Google Scholar 

  80. Partridge JB, Scott O, Deveralll PB, Macartney FJ (1975) Visualization and measurement of the main bronchi by tomography as an objective indicator of thoracic situs in congenital heart disease. Circulation 51: 188–196

    PubMed  CAS  Google Scholar 

  81. Pedersen M, Morkassel E, Nielsen MH, Mygrind N (1981) Kartagener’s syndrome, preliminary report on cilia structure, function, and upper airway symptoms. Chest 80: 858–860

    Article  PubMed  CAS  Google Scholar 

  82. Pipitone S, Calcaterra G, Grillo R, Thiene G, Sperandeo V (1985) Broncho-atrial discordance. A clinically diagnosed case. Int J Cardiol 9: 374–378

    Google Scholar 

  83. Roberts WC, Berry WB, Morrow AG (1962) The significance of asplenia in the recognition of inoperable congenital heart disease. Circulation 26: 1251–1253

    PubMed  CAS  Google Scholar 

  84. Robin E, Ganguly SN, Fowler MS (1975) Strangulation of the left atrial appendage through a congenital partial pericardial defect. Chest 67: 354–356

    Article  PubMed  CAS  Google Scholar 

  85. Rose V, Izukawa T, Moes CAF (1975) Syndromes of asplenia and polysplenia. A review of cardiac and non-cardiac malformations in 60 cases with special reference to diagnosis and prognosis. Br Heart J 37: 840–845

    Article  PubMed  CAS  Google Scholar 

  86. Rossman CM, Forrest JB, Lee RMKW, Newhouse AF, Newhouse MT (1981) The dyskinetic cilia syndrome, abnormal ciliary motility in association with abnormal ciliary ultrastructure. Chest 80: 860–864

    PubMed  CAS  Google Scholar 

  87. Rowe RD, Freedom RM, Mehrizi A (1981) The neonate with congenital heart disease. Saunders, New York, pp 503–514

    Google Scholar 

  88. Ruttenberg HD, Neufeld HN, Lucas Jr RV et al. (1964) Syndrome of congenital cardiac disease with asplenia. Distinction from other forms of congenital cyanotic cardiac disease. Am J Cardiol 13: 387–401

    Google Scholar 

  89. Sapire DW, Ho S-Y, Anderson RH, Rigby ML (1986) Diagnosis and significance of atrial isomerism. Am J Cardiol 58: 342–346

    Article  PubMed  CAS  Google Scholar 

  90. Seo JW, Choe GY, Chi JG (1989) An unusual ventricular loop associated with right juxtaposition of the atrial appendages. Int J Cardiol 25: 219–228

    Article  PubMed  CAS  Google Scholar 

  91. Shah KD, Neill CA, Wagner Jr HN, Taussig HB (1964) Radioisotope scanning of the liver and spleen in dextrocardia and in situs inversus with levocardia. Circulation 29: 231–241

    PubMed  CAS  Google Scholar 

  92. Shah CV, Shah KD, Ashar PN, Hansoti RC (1976) Mirror-image dextrocardia with thoraco-abdominal discordance and normal spleen. Chest 69: 427–429

    Article  PubMed  CAS  Google Scholar 

  93. Sharma S, Devine W, Anderson RH, Zuberbuhler JR (1987) Identification and analysis of left atrial isomerism. Am J Cardiol 60: 1157–1160

    Article  PubMed  CAS  Google Scholar 

  94. Shinebourne EA, Macartney FJ, Anderson RH (1976) Sequential chamber localization-logical approach to diagnosis in congenital heart disease. Br Heart J 38: 327–340

    Article  PubMed  CAS  Google Scholar 

  95. Silverman NH, Hunter S, Anderson RH, Ho S-Y, Sutherland GR, Davies MJ (1983) Anatomical basis of cross-sectional echocardiography. Br Heart J 50: 421–431

    Article  PubMed  CAS  Google Scholar 

  96. Soto B, Pacifico AD, Souza Jr AS, Bargeron Jr LM, Ermocilla R, Tonkin IL (1978) Identification of thoracic isomerism from the plain chest radiograph. AJR 131: 995–1002

    PubMed  CAS  Google Scholar 

  97. Squarcia H, Ritter DG, Kincaid DW (1973) Dextrocardia: angiographic study and classification. Am J Cardiol 32: 965–971

    Article  PubMed  CAS  Google Scholar 

  98. Stanger P, Benassi RC, Korns ME, Jue KL, Edwards JE (1968) Diagrammatic portrayal of variations in cardiac structure, reference to transposition, dextrocardia and the concept of four normal hearts. Circulation 37 (Suppl IV): 1–16

    Google Scholar 

  99. Stanger P, Rudolph AM, Edwards JE (1977) Cardiac malpositions: an overview based on study of 65 necropsy specimens. Circulation 56: 159–166

    PubMed  CAS  Google Scholar 

  100. Stewart PA, Becker AE, Wladimiroff JW, Essed CE (1984) Left atrial isomerism associated with asplenia: prenatal echocardiographic detection of complex congenital cardiac malformations. J Am Coll Cardiol 4: 1015–1020

    Article  PubMed  CAS  Google Scholar 

  101. Sturgess JM, Chao J, Wong J, Aspin N, Turner JA (1979) Cilia with defective radial spokes: a cause of human respiratory disease. N Engl J Med 300: 53–56

    Article  PubMed  CAS  Google Scholar 

  102. Sunderland S, Wright-Smith RJ (1944) Congenital pericardial defects. Br Heart J 6: 167–175

    Article  PubMed  CAS  Google Scholar 

  103. Talesnick BS, Sutton FJ, Lee Y-C, McLaughlin JS (1985) Pericardial defect mimicking a left atrial mass. Am J Cardiol 56: 699–701

    Article  PubMed  CAS  Google Scholar 

  104. Teplick JG, Wallner RJ, Levine AH, Haskin ME, Teplick SK (1979) Isolated dextrogastria: report of two cases. AJR 132: 124–126

    PubMed  CAS  Google Scholar 

  105. Tonkin ILD, Tonkin AK (1982) Visceroatrial situs abnormalities: Sonographic and computed tomographic appearance. AJR 138: 509–515

    Google Scholar 

  106. Turner JA, Corkey CWB, Lee JYC, Levison H, Sturgess J (1981) Clinical expressions of immotile cilia syndrome. Pediatrics 67: 805–810

    PubMed  CAS  Google Scholar 

  107. Van Mierop LHS, Patterson PR, Reynolds RW (1964) Two cases of congenital asplenia with isomerism of the cardiac atria and the sinoatrial nodes. Am J Cardiol 13: 407–413

    Article  Google Scholar 

  108. Van Praagh R (1977) Terminology of congenital heart disease. Circulation 56: 139–141

    PubMed  Google Scholar 

  109. Van Praagh R (1984) Diagnosis of complex congenital heart disease: morphologic-anatomic method and terminology. Cardiovasc Intervent Radiol 7: 115–120

    Article  PubMed  Google Scholar 

  110. Van Praagh R, Van Praagh S (1990) Atrial isomerism in the heterotaxy syndromes with asplenia, or polysplenia, or normally formed spleen: an erroneous concept. Am J Cardiol 66: 1504–1506

    Article  PubMed  Google Scholar 

  111. Van Praagh R, Vlad P (1978) Dextrocardia, mesocardia and levocardia: the segmental approach to diagnosis in congenital heart disease. In: Keith JD, Rowe RD, Vlad P (eds) Heart disease in infancy and childhood. Macmillan, New York, pp 638–695

    Google Scholar 

  112. Van Praagh R, Van Praagh S, Vlad P, Keith JD (1964) Anatomic types of congenital dextrocardia: diagnostic and embryologic implications. Am J Cardiol 13: 510–531

    Article  Google Scholar 

  113. Van Praagh R, Van Praagh S, Vlad P, Keith JD (1965) Diagnosis of anatomic types of congenital dextrocardia. Am J Cardiol 15: 234–247

    Article  Google Scholar 

  114. Van Praagh R, Wise JR, Dahl BA, Van Praagh S (1980) Single left ventricle with infundibular outlet chamber and tricuspid valve opening only into outlet chamber in a 44-year-old man with thoracoabdominal ectopia cordis without diaphragmatic or pericardial defect: importance of myocardial.morphologic method of chamber identification in congenital heart disease. In: Van Praagh R, Takao A (eds) Etiology and morphogenesis of congenital heart disease. Futura, Mount Kisco, NY, pp 379–420

    Google Scholar 

  115. Van Praagh R, Weinberg PM, Smith SD. Foran RB, Van Praagh S (1989) Malpositions of the heart. In: Adams FH, Emmanouilides GC, Riemenschneider TA (eds) Moss’ heart disease in infants, children, and adolescents. Williams and Wilkins, Baltimore, pp 530–580

    Google Scholar 

  116. Vaughan TJ, Hawkins Jr IF, Elliott LP (1971) Diagnosis of polysplenia syndrome. Radiology 101: 511–518

    PubMed  CAS  Google Scholar 

  117. Vevaina JR, Teichbwerg S, Buschman D, Kirkpatrick CH (1987) Correlation of absent inner dynein arms and mucociliary clearance in a patient with Kartagener’s syndrome. Chest 91: 91–93

    Article  PubMed  CAS  Google Scholar 

  118. Victor S, Rajesh PB, Daniel ID, Rajaram S, Lakshmikanthan C (1979) Congenital pericardial defect with accessory lobules in lung and patent ductus anteriosus: a case report. Indian Heart J 31: 61–64

    Google Scholar 

  119. Waldman JD, Rosenthal A, Smith AL, Shurin S, Nadas AS (1977) Sepsis and congenital asplenia. Pediatrics 90: 555–559

    Article  CAS  Google Scholar 

  120. Wellens HJJ, Gorgels AP (1979) Mirror-image dextrocardia and the Wolff-Parkinson-White syndrome. Chest 76: 91–92

    Article  PubMed  CAS  Google Scholar 

  121. Wilton AJ, Teichtahl H, Temple-Smith PD, De Kretser DM (1986) Kartagener’s syndrome with motile cilia and immotile spermatozoa: axonemal ultrastructure and function. Am Rev Respir Dis 134: 1233–1236

    PubMed  CAS  Google Scholar 

  122. Wolfe RR (1976) Kartagener’s syndrome: a pediatric responsibility. Chest 69: 573–575

    Article  PubMed  CAS  Google Scholar 

  123. Wren C, Macartney FJ, Deanfield JE (1987) Cardiac rhythm in atrial isomerism. Am J Cardiol 59: 1156–1158

    Article  PubMed  CAS  Google Scholar 

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Freedom, R.M. (1992). Cardiac Malpositions Including Ectopia Cordis and Congenital Pericardial Defect. In: Neonatal Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-1814-5_44

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