Dextrocardia with Situs Inversus

On routine physical examination, a 35-year-old healthy gardener was found to have right-sided heart sounds. Radiography of the chest showed the cardiac apex pointing to the right (Panel A). Both the aortic arch and the stomach bubble were located on the right side as well. Typical left-sided electrocardiography (Panel B) revealed an inversion of the electrical waves in leads I, II, aVR, V4, V5, and V6. Right-sided electrocardiography demonstrated a normal pattern (Panel C). Dextrocardia with situs inversus was diagnosed in this otherwise healthy man.