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(Chest. 1972;61:92-94.)
© 1972 American College of Chest Physicians

Left Aortic Arch and Right Superior Vena Cava in Mirror-Image Dextrocardia with Tetralogy

Jacob R. Morgan CAPT, MC, USN, F.C.C.P.1; Alan D. Forker LCDR, MC, USNR1; and Max J. Trummer CAPT, MC, USN, F.C.C.P.1

1 Departments of Cardiology and Thoracic Surgery, U.S. Naval Hospital, San Diego, California

Interesting clinical instruction in mirror-image relationships, especially of major arterial and venous anatomy, was provided by a unique case of tetralogy of Fallot with mirror-image dextrocardia. Besides situs inversus, there was left aortic arch, interruption of the inferior vena cava with right hemiazygous continuation and persistent right superior vena cava which emptied into a giant coronary sinus (mirror-image or right aortic arch and hemiazygous vein draining into a persistent left superior vena cava). Right heart catheterization and caval cannulation at surgery could be achieved only by passage through the coronary sinus.






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Copyright © 1972 by the American College of Chest Physicians.