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J Thorac Cardiovasc Surg 2005;130:1471-1472
© 2005 The American Association for Thoracic Surgery
Brief Communication |
Gulhane Military Medical Academy, Camlica Chest Diseases Hospital, Department of Thoracic Surgery, Istanbul, Turkey.
Received for publication May 18, 2005; accepted for publication June 30, 2005. * Address for reprints: Atilla Eroglu, MD, Ataturk University, Medical Faculty, Department of Thoracic Surgery, Erzurum, Turkey. (Email: atilaeroglu@hotmail.com; aeroglu@atauni.edu.tr).
| The first 20% of the full text of this article appears below. |
The combination of Poland syndrome and dextrocardia is very uncommon, only 17 cases having been published until now. In all of them, the manifestations of Poland syndrome were on the left, although they usually occur on the right. We report the case of left-sided Poland syndrome combined with isolated dextrocardia, bilateral palmar hyperhydrosis, and hypoplasia of the rectus abdominis muscle. Clinical correlations between Poland syndrome and dextrocardia are discussed.
Clinical Summary
A 20-year-old man who was admitted to our hospital had previously been given a diagnosis of Poland syndrome. There were no relevant anomalies in the family. On examination, there was a defect in the left pectoralis major and minor muscle attachments to the sternum through which the skin retracted with respiration. The left areola was small and located higher than the right one, with an inverted nipple (Figure 1). Hypoplasia of subcutaneous
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