An Unusual Case of Levocardia with Situs Inversus

Introduction Recently, an unusual case of situs inversus (SI) with levocardia (left-sided apex of heart) was recognized in a 98-year-old female body donor at Oregon Health & Science University (OHSU). A review of the donor medical records gave insight as to her long-lasting and generally robust health into her 90s. She had three children and lived with no apparent ill effects, aside from a hiatal hernia. Despite having an appendectomy and hysterectomy in life, SI with levocardia went unmentioned in her medical records. Methods and Results Additional to the levocardia, superior the diaphragm the OHSU donor presented with a persistent left superior vena cava (SVC), enlarged right atrium, absence of the hepatic segment of the inferior vena cava (IVC), and transposition of the azygos venous system, which emptied in to the SVC. Her right lung had two lobes, as does her left. Inferior to the diaphragm, she had a midline liver with a slightly enlarged left lobe, stomach (with large hiatal hernia) and spleen on t...