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(Chest. 1973;63:926-932.)
© 1973 American College of Chest Physicians

Hepato-Atrial Dissociation

Report of Two Cases and Clinical Implications

Robert D. Leachman M.D., F.C.C.P.1; Paolo Angelini M.D.2; and Dennis V. Cokkinos M.D.2

1 Associate Professor of Medicine, Baylor University College of Medicine
2 Cardiology Division, Texas Heart Institute, and the Department of Medicine, Baylor University College of Medicine, Houston, Texas

Two clinical cases are reported illustrating the rare condition in which the liver liver does not follow the situs of the right atrium. Both patients had right-sided liver and cardiac apex, a condition usually associated with severe intracardiac defects. Both proved to have mirror-image dextrocardia with normal intracardiac anatomy or correctable lesions (one case). The behavior of the inferior vena cava in these cases is illustrated. Embryologic considerations are presented concerning the hepato-cavo-atrial concordance rule.






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Copyright © 1973 by the American College of Chest Physicians.