Abstract. Congenital heart defects are present in about 5-10% of affected people. Dextrocardia with situs inversus is a condition that is characterized by abnormal positioning of the heart and other internal organs.In people affected by dextrocardia, the tip of the heart points towards the right side of the chest instead of the left side.Situs inversus refers to the mirror-image reversal of the organs in the chest and abdominal cavity. Several fictional characters have reversed organs. Naturally students of human twins have been interested in situs inversus in connection with the general problem of mirror-image asymmetry in twins. About 25% of identical twins are mirror image twins. Situs Inversus is a unique genetic condition that occurs when the organs of the chest and abdomen form and are positioned in the exact mirror image of where they are supposed to be. The liver is positioned on … frequently showing situs inversus. [2]In the absence of congenital heart defects, individuals with situs inversus are phenotypically unimpaired, and can lead normal healthy lives, without any complications related to their medical condition. The underlying cause and genetics of situs inversus are complex. In this form of dextrocardia, the heart is simply placed further right in the thorax than is normal. It's a condition called situs inversus, and though rare, it's probably more common than you think, affecting about one in 10,000 people. Organs . Situs, the Latin word for the site, describes the normal position of the cardiac atria and internal organs [1,2]. In a few cases of mirror imaging, one twin may display situs inversus where the position of internal organs is on the side opposite to their usual placement…the heart is on the right rather than the left side, for example. In a few cases of mirror imaging, one twin may display situs inversus where the position of internal organs is on the side opposite to their usual placement; the heart is on the right rather than the left side, for example. Situs inversus is generally an autosomal recessive genetic condition, although it can be X-linked or found in identical "mirror" twins. Classification Dextrocardia of embryonic arrest. We report our experience of trans-atrial approach in these patients employing an easily reproducible preoperative delineation of the anatomy. This condition is known Situs Inversus , where visceral like stomach , heart or even liver are seen on opposite side than their normal anatomical position. It can occur alone (isolated, with no other abnormalities or conditions) or it can occur as part of a syndrome with various other defects. Background: Correction of hearts with situs inversus dextrocardia represent technical challenges due to mirror image anatomy and altered conduction pathway.Ventriculotomy has been the traditional approach for biventricular repair. Situs inversus is a congenital positional anomaly characterized by transposition of abdominal viscera, and when associated with a right-sided heart (Dextrocardia), is termed as situs inversus totalis [3]. Kay's insides are the mirror image of a normal child's. Situs inversus (also called situs transversus or oppositus) is a congenital condition in which the major visceral organs are reversed or mirrored from their normal positions. About 25% of identical twins are mirror-image twins. Introduction. This causes the left atrium of the heart, for example, to be on the body’s right side. The positioning of internal organs might be opposite in very extreme cases of mirror image twins. 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