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Heterotaxy

MedGen UID:
75620
Concept ID:
C0266642
Congenital Abnormality
Synonyms: Laterality sequence; Situs ambiguus
SNOMED CT: Situs ambiguus (14821001); Heterotaxy (14821001); Heterotaxis (14821001); Heterotaxia (14821001); Isomerism sequence (24614000); Laterality sequence (24614000)
 
HPO: HP:0030853
Orphanet: ORPHA157769

Definition

An abnormality in which the internal thoraco-abdominal organs demonstrate abnormal arrangement across the left-right axis of the body. [from HPO]

Conditions with this feature

Laterality defects, autosomal dominant
MedGen UID:
322042
Concept ID:
C1832813
Disease or Syndrome
Primary ciliary dyskinesia 14
MedGen UID:
462486
Concept ID:
C3151136
Disease or Syndrome
Primary ciliary dyskinesia-14 (CILD14) is an autosomal recessive disorder characterized by recurrent respiratory infections associated with defects in ciliary inner dynein arms and axonemal disorganization (Merveille et al., 2011). For a general phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Heterotaxy, visceral, 7, autosomal
MedGen UID:
902629
Concept ID:
C4225217
Disease or Syndrome
Visceral heterotaxy-7 (HTX7) is an autosomal recessive developmental disorder characterized by complex congenital heart malformations and/or situs inversus and caused by defects in the normal left-right asymmetric positioning of internal organs. The phenotype is variable (summary by Guimier et al., 2015). For a discussion of the genetic heterogeneity of visceral heterotaxy, see HTX1 (306955).
Ciliary dyskinesia, primary, 44
MedGen UID:
1716408
Concept ID:
C5394063
Disease or Syndrome
Primary ciliary dyskinesia-44 (CILD44) is an autosomal recessive disorder characterized by recurrent sinopulmonary infections resulting from defective mucociliary clearance. Affected individuals have onset of symptoms in infancy or early childhood, and the repetitive nature of the disorder results in bronchiectasis. Although respiratory epithelial cell motile cilia are shorter than normal and overall ciliary motion is decreased, nasal nitric oxide, radial ciliary structure, and ciliary beat frequency are normal. In addition, patients do not have situs inversus (summary by Chivukula et al., 2020). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Diets-Jongmans syndrome
MedGen UID:
1714920
Concept ID:
C5394263
Disease or Syndrome
Diets-Jongmans syndrome (DIJOS) is an autosomal dominant disorder characterized by mild to moderately impaired intellectual development with a recognizable facial gestalt (summary by Diets et al., 2019).

Professional guidelines

PubMed

Svetanoff WJ, Srivatsa S, Diefenbach K, Nwomeh BC
Semin Pediatr Surg 2022 Feb;31(1):151141. Epub 2022 Feb 18 doi: 10.1016/j.sempedsurg.2022.151141. PMID: 35305800
Akalın M, Demirci O, Kumru P, Yücel İK
Prenat Diagn 2022 Apr;42(4):435-446. Epub 2022 Feb 4 doi: 10.1002/pd.6110. PMID: 35102577
Piano Mortari E, Baban A, Cantarutti N, Bocci C, Adorisio R, Carsetti R
J Allergy Clin Immunol 2017 Jun;139(6):1981-1984.e1. Epub 2016 Nov 15 doi: 10.1016/j.jaci.2016.10.014. PMID: 27864025

Recent clinical studies

Etiology

Strobel RJ, Young AM, Kron IL
J Card Surg 2022 Apr;37(4):948-949. Epub 2022 Jan 30 doi: 10.1111/jocs.16279. PMID: 35094437
Wallmeier J, Nielsen KG, Kuehni CE, Lucas JS, Leigh MW, Zariwala MA, Omran H
Nat Rev Dis Primers 2020 Sep 17;6(1):77. doi: 10.1038/s41572-020-0209-6. PMID: 32943623
Harrison MJ, Shapiro AJ, Kennedy MP
Paediatr Respir Rev 2016 Mar;18:25-32. Epub 2015 Sep 26 doi: 10.1016/j.prrv.2015.09.003. PMID: 26545972
Mishra S
Indian J Pediatr 2015 Dec;82(12):1135-46. Epub 2015 Nov 26 doi: 10.1007/s12098-015-1925-x. PMID: 26612104
Lodwick DL, Minneci PC, Deans KJ
Curr Opin Pediatr 2015 Jun;27(3):383-8. doi: 10.1097/MOP.0000000000000215. PMID: 25888146

Diagnosis

Wallmeier J, Nielsen KG, Kuehni CE, Lucas JS, Leigh MW, Zariwala MA, Omran H
Nat Rev Dis Primers 2020 Sep 17;6(1):77. doi: 10.1038/s41572-020-0209-6. PMID: 32943623
Geddes GC, Samudrala SS, Earing MG
Clin Perinatol 2020 Mar;47(1):171-182. Epub 2019 Oct 31 doi: 10.1016/j.clp.2019.10.011. PMID: 32000924
Masiwal P, Chenthil KS, Priyadarsini B, Gnanaprakasam J, Srihari I
J Assoc Physicians India 2016 May;64(5):73-75. PMID: 27735157
Knowles MR, Zariwala M, Leigh M
Clin Chest Med 2016 Sep;37(3):449-61. Epub 2016 Jun 30 doi: 10.1016/j.ccm.2016.04.008. PMID: 27514592Free PMC Article
Perloff JK
Am J Cardiol 2011 Nov 1;108(9):1352-61. Epub 2011 Aug 20 doi: 10.1016/j.amjcard.2011.06.055. PMID: 21861958

Therapy

Knowles MR, Zariwala M, Leigh M
Clin Chest Med 2016 Sep;37(3):449-61. Epub 2016 Jun 30 doi: 10.1016/j.ccm.2016.04.008. PMID: 27514592Free PMC Article
Oldfield BJ, Stewart RW
South Med J 2016 Jan;109(1):38-41. doi: 10.14423/SMJ.0000000000000399. PMID: 26741872
Kuchar E, Miśkiewicz K, Karlikowska M
Br J Haematol 2015 Dec;171(5):683-94. Epub 2015 Aug 28 doi: 10.1111/bjh.13660. PMID: 26315210
Casar Tena T, Burkhalter MD, Philipp M
Biol Cell 2015 Sep;107(9):306-18. Epub 2015 Jun 11 doi: 10.1111/boc.201400094. PMID: 25943139Free PMC Article
Kosaki K, Casey B
Semin Cell Dev Biol 1998 Feb;9(1):89-99. doi: 10.1006/scdb.1997.0187. PMID: 9572118

Prognosis

Mastromoro G, Guadagnolo D, Novelli A, Torres B, Piane M, Magliozzi M, Bernardini L, Ventriglia F, Pizzuti A, Petrucci S
J Matern Fetal Neonatal Med 2023 Dec;36(1):2201653. doi: 10.1080/14767058.2023.2201653. PMID: 37041101
Moore JP, Aboulhosn JA
Card Electrophysiol Clin 2017 Jun;9(2):167-175. Epub 2017 Mar 14 doi: 10.1016/j.ccep.2017.02.001. PMID: 28457233
Mishra S
Indian J Pediatr 2015 Dec;82(12):1135-46. Epub 2015 Nov 26 doi: 10.1007/s12098-015-1925-x. PMID: 26612104
Teele SA, Jacobs JP, Border WL, Chanani NK
World J Pediatr Congenit Heart Surg 2015 Oct;6(4):616-29. doi: 10.1177/2150135115604470. PMID: 26467876
Balan A, Lazoura O, Padley SP, Rubens M, Nicol ED
J Cardiovasc Comput Tomogr 2012 Mar-Apr;6(2):127-36. Epub 2012 Jan 28 doi: 10.1016/j.jcct.2011.10.019. PMID: 22398009

Clinical prediction guides

Mastromoro G, Guadagnolo D, Novelli A, Torres B, Piane M, Magliozzi M, Bernardini L, Ventriglia F, Pizzuti A, Petrucci S
J Matern Fetal Neonatal Med 2023 Dec;36(1):2201653. doi: 10.1080/14767058.2023.2201653. PMID: 37041101
Spicer DE, Chowdhury UK, Anderson RH, Pandey NN, Sankhyan LK, George N, Goja S, Malik V
Eur J Cardiothorac Surg 2022 Jun 15;62(1) doi: 10.1093/ejcts/ezac139. PMID: 35234855
Acherman RJ, Evans WN
Prenat Diagn 2019 Dec;39(13):1220-1224. Epub 2019 Nov 13 doi: 10.1002/pd.5571. PMID: 31600425
Lodwick DL, Minneci PC, Deans KJ
Curr Opin Pediatr 2015 Jun;27(3):383-8. doi: 10.1097/MOP.0000000000000215. PMID: 25888146
Balan A, Lazoura O, Padley SP, Rubens M, Nicol ED
J Cardiovasc Comput Tomogr 2012 Mar-Apr;6(2):127-36. Epub 2012 Jan 28 doi: 10.1016/j.jcct.2011.10.019. PMID: 22398009

Recent systematic reviews

van Velzen CL, Ket JCF, van de Ven PM, Blom NA, Haak MC
Int J Gynaecol Obstet 2018 Feb;140(2):137-145. Epub 2017 Nov 22 doi: 10.1002/ijgo.12373. PMID: 29094357
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Loomba RS, Geddes GC, Basel D, Benson DW, Leuthner SR, Hehir DA, Ghanayem N, Shillingford AJ
Congenit Heart Dis 2016 Dec;11(6):537-547. Epub 2016 Jul 18 doi: 10.1111/chd.12395. PMID: 27425254
Tan YW, Khalil A, Kakade M, Carvalho JS, Bradley S, Cleeve S, Giuliani S
J Pediatr 2016 Apr;171:153-62.e1-3. Epub 2016 Feb 8 doi: 10.1016/j.jpeds.2015.12.074. PMID: 26868865
Oldfield BJ, Stewart RW
South Med J 2016 Jan;109(1):38-41. doi: 10.14423/SMJ.0000000000000399. PMID: 26741872

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