eMedicine Specialties > Pediatrics: Cardiac Disease and Critical Care Medicine > Cardiology
Heterotaxy, Asplenia: Multimedia
Updated: Apr 23, 2009
Multimedia
![]() | Media file 1: Transverse ultrasonogram in a patient with asplenia. This image demonstrates the aorta and vena cava on either side of the midline, an appearance that simulates solitus anatomy. |
More on Heterotaxy, Asplenia |
| Overview: Heterotaxy, Asplenia |
| Differential Diagnoses & Workup: Heterotaxy, Asplenia |
| Treatment & Medication: Heterotaxy, Asplenia |
| Follow-up: Heterotaxy, Asplenia |
Multimedia: Heterotaxy, Asplenia |
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References
Jacobs JP, O'Brien SM, Chai PJ, Morell VO, Lindberg HL, Quintessenza JA. Management of 239 patients with hypoplastic left heart syndrome and related malformations from 1993 to 2007. Ann Thorac Surg. May 2008;85(5):1691-6; discussion 1697. [Medline].
Konstantinidou A, Sifakis S, Koukoura O, Mantas N, Agrogiannis G, Patsouris E. Pancreatic aplasia in a fetus with asplenia-cardiovascular defect-heterotaxy (Ivemark syndrome). Birth Defects Res A Clin Mol Teratol. Aug 2008;82(8):601-4. [Medline].
Ming Z, Hong S, Biao J. Images in cardiovascular medicine. Asplenia syndrome with bilateral tracheal bronchi. Circulation. Jul 8 2008;118(2):196-7. [Medline].
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Jan IS, Tsai TH, Chen JM, et al. Hypoglycemia associated with bacteremic pneumococcal infections. Int J Infect Dis. Dec 12 2008;[Medline].
Bertran SK, Donoso FA, Cruces RP, Diaz RF, Arriagada SD. [Congenital asplenia and pneumococcal purpura fulminans in a pediatric patient: case report with pathological findings and review]. Rev Chilena Infectol. Feb 2009;26(1):55-9. [Medline].
Atkinson DE, Drant S. Diagnosis of heterotaxy syndrome by fetal echocardiography. Am J Cardiol. Nov 1 1998;82(9):1147-9, A10. [Medline].
Bartram U, Wirbelauer J, Speer CP. Heterotaxy syndrome -- asplenia and polysplenia as indicators of visceral malposition and complex congenital heart disease. Biol Neonate. 2005;88(4):278-90. [Medline].
Chen SJ, Li YW, Wang JK, et al. Usefulness of electron beam computed tomography in children with heterotaxy syndrome. Am J Cardiol. Jan 15 1998;81(2):188-94. [Medline].
Ditchfield MR, Hutson JM. Intestinal rotational abnormalities in polysplenia and asplenia syndromes. Pediatr Radiol. May 1998;28(5):303-6. [Medline].
Eronen M, Kajantie E, Boldt T. Right atrial isomerism in four siblings. Pediatr Cardiol. 2004;24:141-4. [Medline]. [Full Text].
Freedom RM, Jaeggi ET, Lim JS, Anderson RH. Hearts with isomerism of the right atrial appendages - one of the worst forms of disease in 2005. Cardiol Young. 2005;15:554-67. [Medline]. [Full Text].
Hashmi A, Abu-Sulaiman R, McCrindle BW, et al. Management and outcomes of right atrial isomerism: a 26-year experience. J Am Coll Cardiol. Apr 1998;31(5):1120-6. [Medline].
Hofstaetter C, Plath H, Hansmann M. Prenatal diagnosis of abnormalities of the fetal venous system. Ultrasound Obstet Gynecol. Mar 2000;15(3):231-41. [Medline].
Kawahira Y, Kishimoto H, Kawata H, et al. Morphologic analysis of common atrioventricular valves in patients with right atrial isomerism. Pediatr Cardiol. Mar-Apr 1997;18(2):107-11. [Medline].
Levine JC, Walsh EP, Saul JP. Radiofrequency ablation of accessory pathways associated with congenital heart disease including heterotaxy syndrome. Am J Cardiol. 1993;72:689-93. [Medline].
Mahle WT, Silverman NH, Marx GR, Anderson RH. Echo-morphological correlates concerning the functionally univentricular heart in the setting of isomeric atrial appendages. Cardiol Young. 2006;16 Suppl 1:35-42. [Medline]. [Full Text].
Ruscazio M, Van Praagh S, Marrass AR, et al. Interrupted inferior vena cava in asplenia syndrome and a review of the hereditary patterns of visceral situs abnormalities. Am J Cardiol. Jan 1 1998;81(1):111-6. [Medline].
Ticho BS, Van Praagh R. Inherited structural heart diseases associated with arrhythmias: Defects in laterality. In: Berul CI, Towbin JA, eds. Molecular Genetics of Cardiac Electrophysiology. Boston, Mass:. Kluwer Academic Publishers;2000:317-328.
Uemura H, Ho SY, Anderson RH, Yagihara T. Ventricular morphology and coronary arterial anatomy in hearts with isometric atrial appendages. Ann Thorac Surg. May 1999;67(5):1403-11. [Medline].
Uemura H, Ho SY, Devine WA, Anderson RH. Analysis of visceral heterotaxy according to splenic status, appendage morphology, or both. Am J Cardiol. Oct 15 1995;76(11):846-9. [Medline].
Wu MH, Wang JK, Lin JL, et al. Supraventricular tachycardia in patients with right atrial isomerism. J Am Coll Cardiol. Sep 1998;32(3):773-9. [Medline].
Yoo SJ, Kim YM, Choe YH. Magnetic resonance imaging of complex congenital heart disease. Int J Card Imaging. Apr 1999;15(2):151-60. [Medline].
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Further Reading
Relevant clinical guidelines include the following:
- Infectious Diseases Society of America and American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults
- American College of Radiology's appropriateness criteria for suspected congenital heart disease in the adult
Relevant clinical trials include the following:
- Efficacy and safety of clopidogrel in neonates and infants with systemic to pulmonary artery shunt palliation
- Iron prophylaxis for anemia in infants with cyanotic congenital heart disease
Related eMedicine topics include the following:
Keywords
asplenia, right atrial isomerism, laterality defects, cyanotic congenital heart disease, intestinal malrotation, anomalous pulmonary venous return, common atrium, endocardial cushion defects, double outlet right ventricle, treatment, diagnosis, biliary tract abnormalities, transverse liver, congestive heart failure, volvulus


Multimedia: Heterotaxy, Asplenia