International Journal of Clinical Case Reports 2015, Vol.5, No. 41, 1-5
5
and timely surgery as in the case presented who
underwent duodenostomy for the duodenal atresia.
Conclusion
This case study concludes that awareness of HTS
among the Paediatricians, Obstreticians and treating
Physicians is very important. Once the fetal ultrasonogram
in the hands of the experts detects HTS, the pregnancy
of the expecting mother should be closely monitored
for fetal growth and presence of various associated
anomalies. Every newborn with a cardiac disease must
be properly examined to look for the presence of an
HTS. This will also help in the counselling of the
parents about the outcome of the pregnancy and
improving maternal and newborn care.
Acknowledgment
The author acknowledges the help of Dr Ajith TA,
Professor Biochemistry, Amala Institute of Medical
Sciences, Amala Nagar, Thrissur, Kerala during the
preparation of the manuscript.
References
Bartz P.J., Driscoll D.J., Dearani J.A., et al., 2006, Early and late results of
the modified fontan operation for heterotaxy syndrome 30 years of
experience in 142 patients, J. Am. Coll. Cardiol.; 48: 2301-2305
Bowers P.N., Brueckner M., and Yost H.J., 1996, The genetics of left-right
development and heterotaxia, Semin Perinatol, 20: 577-588
Cesko I., HajdúJ., Marton T., Tarnai L., and Zs Tóth E., 1998, Familial
heterotaxy syndrome, Case report and review of the international
literature, Orv Hetil., 139(46): 2775-2778
Carneiro D.S., Arantes J.H., et al., 2013, Heterotaxy syndrome: a case report,
Radiol Bras, 46(3)
Chon S.J., Kim S.K., Lee S.P., Hwang B.C., Son D.W., and Choi C.H.,
2011, A case of fetal heterotaxy syndrome, Korean J. Obstet Gynecol,
54(10): 630-633
Ditchfield M.R., and Hutson J.M., 1998, Intestinal rotational abnormalities
in polysplenia and asplenia syndromes, Pediatr Radiol, 28: 303-306
Dyke M.P., Martin R.P., and Berry P.J., 1991, Septicaemia and adrenal
haemorrhage in congenital asplenia, Arch. Dis. Child., 66: 636-637
Escobar-Diaz M.C., Tworetzky W., Friedman K., et al., 2014, Pediatr
Cardiol
5(6): 906-913
Jacobs J.P., Anderson R.H., Weinberg P.M., et al., 2007, The nomenclature,
definition and classification of cardiac structures in the setting of
heterotaxy, Cardiol Young, 17(Suppl 2): 1-28
Kawashima Y., Kitamura S., Matsuda H., Shimazaki Y., Nakano S., and
Hirose H., 1984, Total cavopulmonary shunt operation in complex
cardiac anomalies: a new operation, J. Thorac Cardiovasc Surg., 87:
74-81
Kim S.J., Kim W.H., Lim H.G., and Lee J.Y., 2008, Outcome of 200 patients
after an extra cardiac Fontan procedure, J. Thorac Cardiovasc Surg.,
136: 108-116
Lee S.E., Kim H.Y., Jung S.E., Lee S.C.,. Park K.W., and Kim W.K., 2006,
Situs anomalies and gastrointestinal abnormalities, J. Ped. Surg., 41(7):
1237-1242
Lin A.E., Ticho B.S., Houde K., Westgate M.N., and Holmes L.B., 2000,
Heterotaxy: associated conditions and hospital-based prevalence in
newborns, Genet. Med., 2: 157-172
.,
., and
L., 2010, Surgical management of
congenital heart defects associated with heterotaxy syndrome, Eur. J.
Cardiothorac Surg., 38(6): 721-727
Stumpflen I., Stumpflen A., Wimmer M., and Bernaschek G., 1996, Effect of
detailed fetal echocardiography as part of routine prenatal Ultra
sonographic screening on detection of congenital heart disease, Lancet,
348: 854-857
Sutherland M.J., and Ware S.M., 2009, Disorders of left-right asymmetry:
heterotaxy and situs inversus, Am. J. Med. Genet. C., 151(4): 307-317
Ticho B.S., Goldstein A.M., and Van Praagh R., 2000, Extra cardiac
anomalies in the heterotaxy syndromes with focus on anomalies of
midline-associated structures, Am. J. Cardiol., 85: 729-734
Yoo S.J., and Jaeggi E., 2008, Ultrasound evaluation of the fetal heart, In:
Callen P.W., ed., Ultrasonography in obstetetrics and gynecology, 5th
ed., Philadelphia (PA): Saunders Elsevier, pp.523-528