Management of Gallbladder Empyema in a patient with Situs Inversus, Levocardia and Morbid Obesity: a Case Report.

Situs Inversus with levocardia is an unusual condition, in which the main organs of the thorax and abdomen are located in a reverse or enantiomorphic position in relation to the usual topography. It is estimated a prevalence of 1:10000 people with some Situs Inversus condition, but Situs Inversus with Levocardia is reported in only 1:22000 cases. The presence of acute cholecystitis in patients is an extremely rare event,however, one of its possible complications, Gallbladder Empyema can develop, causing an increase in severity and the need for surgical intervention. Since the inversion of abdominal organs proper to Situs Inversus with levocardia is commonly associated with the transposition of great vessels, fatally, as described in the literature of Vesicle empyema and Situs Inversus, it only occurred in patients with dextrocardia, not yet being reported in patients with Levocardia. We report a case of a female patient with pain in the left hypochondrium with Situs Inversus Viscerum, Levocardia, Empyema of Biliary Vesicles and Morbid Obesity.

Analysis of the dynamics of congenital heart defects in newborns in the territory of the Novosibirsk region for 2015-2019

Врожденные пороки сердечно-сосудистой системы (ВПС) выходят на первое место среди причин, приводящих к младенческой и детской смертности, а также инвалидности. По результатам проведённого исследования выявлено, что в структуре врожденных пороков развития 37,3% составляют ВПС. Средний срок выявления ВПР/МВПР методами пренатальной диагностики составил 23,9±2,3 недель беременности. Отмечается рост дефектов межжелудочковой перегородки на 118%, транспозиции магистральных сосудов на 61%, дефектов межпредсердной перегородки на 37% за период наблюдения. В структуре младенческой смертности ВПС составили 35,12%. Congenital malformations of the cardiovascular system (СHD) rank first among the causes leading to infant and child mortality, as well as disability. It was revealed that in the structure of congenital malformations in Novosibirsk region, 37.3% are CHD. The average term for prenatally detecting CHD was 23.9 ± 2.3 weeks of gestation. There was an increase of ventricular septal defects by 118%, transposition of great vessels by 61%, and atrial septal defects by 37% during the observation period. In the structure of infant mortality, CHD accounted for 35.12%.

Unusual association between corrected transposition of great arteries and supracardiac total anomalous pulmonary venous connection: a rare combination never reported before

We describe the case of a 52-day-old child who was diagnosed with a rare combination of corrected transposition of great vessels – hypoplastic right ventricle with supracardiac total anomalous pulmonary venous connection.

Tessier Number 30 Median Mandibular Cleft With Congenital Heart Anomalies in Qena, Egypt

Median cleft deformities of the lower lip and mandible are very rare congenital anomalies. Our patient had median cleft of the lower lip, mandible, and the chin with tongue duplication, ankyloglossia, and cleft strap muscles with 2 neck contracture bands. This anomaly was associated with congenital heart disease transposition of great vessels, large ventricular septal defect, and severe pulmonary stenosis. Early repair was done at 6 months to improve feeding.

Coronary sinus ostial atresia with persistent left superior caval vein in a patient with congenitally corrected transposition of the great arteries

We present a case of a 57-year-old man with congenitally corrected transposition of great vessels who was found to have coronary ostial atresia with cranial flow through left superior vena cava on CT with contrast injection in coronary tributaries. As such, he was ineligible for cardiac resynchronization therapy.