Table 1.
Etiology | • Not yet fully understood • Factors embryogenic, genetic, and teratogenic have been suggested |
Incidence | • 1 per 250 000 live births has polysplenia syndrome |
Gender predilection | • Female gender |
Age predilection | • Childhood and adulthood |
Risk factors | • Factors embryogenic, genetic, and
teratogenic • Mutations have been identified in the genes of patients with heterotaxia. |
Treatment | • The surgical treatment is indicated according to the type of associated cardiac and vascular malformations also according to the age and the clinical tolerance |
Prognosis | • Generally good prognosis but can sometimes depend on essentially cardiac malformations |
Findings on imaging | • Situs ambiguous or rarely situs
inversus • Polysplenia sometimes a polylobed or normal spleen • Left isomerism • Agenesis of the inferior vena cava with continuation of azygos type Often • Bilobed right lung • Common atrioventricular canal • Complete common mesentery and other malformations . . . |