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October 1951, Vol 82, No. 4 >
Article | October 1951

SITUS INVERSUS WITH LEVOCARDIA

D. P. R. KEIZER, M.D.
AMA Am J Dis Child. 1951;82(4):456-458. doi:10.1001/archpedi.1951.02040040474008.
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SITUS inversus of the abdominal viscera with the heart occupying its normal position seems to occur rather infrequently according to Taussig's book on congenital malformations of the heart.1 Three cases are mentioned by Taussig, with a report of one autopsy. Eek2 reports one case in which the vena cava superior was left of the vessel trunk, the hilar vessels pulsated heavily, and the apex cordis was directed forward and medially. Hoekstra3 published a case report of a child, aged 8 mo., in whom he found a three-lobed left lung and a two-lobed right lung, the heart in its normal position but the left ventricle forming the left lateral border of the heart. The interventricular septum presented a defect, and the pulmonary artery was hypoplastic. In order to have an idea of the origin of this congenital defect, Hoekstra imagined that the heart in situs inversus totalis made

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