Pseudo-dextrocardia: An unusual case of giant biatrial enlargement

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Presentation transcript:

Pseudo-dextrocardia: An unusual case of giant biatrial enlargement Roberto Lorusso, MD, PhD, Mario Morone, MD, Davide Farina, MD, Sandro Gelsomino, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 6, Pages e59-e61 (December 2013) DOI: 10.1016/j.jtcvs.2013.08.014 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Anteroposterior chest radiograph showing the “pseudo-dextrocardia” induced by severe enlargement of the right and left atria, with a right and posterior shifting of the cardiac chambers. B, Lateral–lateral chest radiograph showing the position of the 2 prosthetic valves at the mitral-aortic level and the tricuspid ring, with evidence of dense adhesions between the right ventricle and atrium toward the inferior surface of the sternum. L, Left; R, right. The Journal of Thoracic and Cardiovascular Surgery 2013 146, e59-e61DOI: (10.1016/j.jtcvs.2013.08.014) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Axial thoracic computed tomography scan showing massive dilatation of both right (RA) and left atria (LA) with normal-size right (RV) and left ventricles (LV). The inferior lobe of the right lung had collapsed. Pleural effusion was also present. The Journal of Thoracic and Cardiovascular Surgery 2013 146, e59-e61DOI: (10.1016/j.jtcvs.2013.08.014) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions