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August 1963

Dextroversion of the Heart With Rheumatic Mitral Stenosis: A Case Report

Author Affiliations


From the Department of Medicine, University of Illinois College of Medicine, Chicago, and MacNeal Memorial Hospital, Berwyn, 111.

Arch Intern Med. 1963;112(2):248-252. doi:10.1001/archinte.1963.03860020146020

The recent excellent and extensive review of dextroversion by Arcilla and Gasul1 leaves little to be added by a single case report. However, the association of mitral stenosis and the age to which this patient has lived make recording of this case of some interest.

Report of Case  A 63-year-old white woman entered MacNeal Memorial Hospital on Nov 9, 1960, for removal of a mass in the neck. This had been noticed incidentally for the first time three months previously.At the age of seven, the patient was first told that her heart was on the right side, but she was not told of any murmur. At the age of 13, she had acute rheumatic fever characterized by swelling and pain in her ankles and a high fever. She had one uneventful pregnancy at 21 years of age. At the age of 39, she was awakened, about 30 minutes