Congenitally corrected transposition in the adult: detection by radionuclide angiocardiography. 1985

G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen

Congenitally corrected transposition (CCT) of the great vessels is an uncommon anomaly usually detected in children because of associated severe cardiac malformations. When these are absent, patients may be hemodynamically normal, but associated cardiac abnormalities are usually present in CCT, leading to symptoms in adulthood. When CCT is suggested in an adult, diagnosis by means of ultrasound may be difficult. Radionuclide angiocardiography (RA) is a simple, noninvasive method by which to diagnose CCT. We found consistent morphologic scintigraphic results in 13 patients with proved CCT, leading to establishment of reliable diagnostic criteria. In all instances of situs solitus the aorta ascends and descends on the left with vertical orientation. In the case of situs inversus, the aorta ascends and descends on the right with vertical orientation. Our criteria are independent of the situs and cardiac position, unlike earlier reports by others. We believe images obtained in the anterior projection are sufficient for the study. The practical application of RA study in patient diagnosis is demonstrated, giving special attention to patients referred because of situs solitus and dextrocardia, in which CCT is known to be present in 50% of cases.

UI MeSH Term Description Entries
D007979 Levocardia Congenital abnormalities in which the HEART is in the normal position (levocardia) in the left side of the chest but some or all of the THORAX or ABDOMEN viscera are transposed laterally (SITUS INVERSUS). It is also known as situs inversus with levocardia, or isolated levocardia. This condition is often associated with severe heart defects and splenic abnormalities such as asplenia or polysplenia. Isolated Levocardia,Situs Inversus with Levocardia,Levocardia, Isolated
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002951 Citrates Derivatives of CITRIC ACID.
D003914 Dextrocardia A congenital defect in which the heart is located on the right side of the THORAX instead of on the left side (levocardia, the normal position). When dextrocardia is accompanied with inverted HEART ATRIA, a right-sided STOMACH, and a left-sided LIVER, the combination is called dextrocardia with SITUS INVERSUS. Dextrocardia may adversely affect other thoracic organs. Dextrocardias
D005260 Female Females

Related Publications

G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
September 1986, Radiology,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
July 1984, Clinical nuclear medicine,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
February 1979, American heart journal,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
January 1987, Journal of nuclear medicine : official publication, Society of Nuclear Medicine,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
May 2011, Orphanet journal of rare diseases,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
August 2022, Brazilian journal of cardiovascular surgery,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
April 2019, Kyobu geka. The Japanese journal of thoracic surgery,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
September 1984, American heart journal,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
May 1970, The New England journal of medicine,
G L Guit, and H M Kroon, and J G Chin, and E K Pauwels, and A E van Voorthuisen
April 1996, Journal of the American College of Cardiology,
Copied contents to your clipboard!