Dextrocardia means right-sided position of the heart in the chest irrespective of the cause. For the absolute diagnosis of the dextrocardia, the segmental analysis of heart is necessary. Once the segmental analysis of the dextrocardia is made, it
is
often relatively easy to identify the presence of any associated defects based on conventional methods including physical examination, EKG, echocardiography, and angiocardiography.
Two cases of dextrocardia with congenital heart disease were treated surgically.
A eleven-months old boy was operated under diagnosis of ASD, VSD, and bilateral SVC with mirror-image dextrocardia {I. L, I} by primary closure of ASD and VSD.
A twenty-four months old girl was operated under diagnosis of ASD, VSD, and PS with corrected TGA {I. D. D} by primary closure of ASD, VSD and dilatation of pulmonary stenosis. Both of them were discharged healthily after operation.
(Korean J Thorac Cardiovasc Surg 1995;28:698-703)
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