Evidence map›Paper›PMID 33603285›Full record

ReviewIndian journal of thoracic and cardiovascular surgery2021

The heterotaxy syndrome: associated congenital heart defects and management.

Ravi Agarwal, Roy Varghese, Vimala Jesudian, Jeswin Moses

Open access · greenAbstract readReview
In one paragraph

Review in Indian journal of thoracic and cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Functional genomics iniScience · 2026
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  19. Heterotaxy syndrome with biliary atresia: a case report.The Pan African medical journal · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Ravi AgarwalDivision of Pediatric Cardiac Surgery, The Madras Medical Mission, 4-A, Dr. J.J. Nagar, Mogappair, Chennai, Tamil Nadu India.ORCID 0000-0001-8082-5464
Roy VargheseDivision of Pediatric Cardiac Surgery, The Madras Medical Mission, 4-A, Dr. J.J. Nagar, Mogappair, Chennai, Tamil Nadu India.
Vimala JesudianDepartment of Pediatric Cardiology, The Madras Medical Mission, 4-A, Dr. J.J. Nagar, Mogappair, Chennai, Tamil Nadu India.
Jeswin MosesDivision of Pediatric Cardiac Surgery, The Madras Medical Mission, 4-A, Dr. J.J. Nagar, Mogappair, Chennai, Tamil Nadu India.
Madras Medical Mission · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heterotaxy syndrome (HS) constitutes a spectrum of anomalies arising from embryological errors that result in abnormalities of lateralization involving thoraco-abdominal viscera and culminate in loss of normal asymmetric arrangement of these organs. Besides the unique challenges involved in planning and execution of surgical procedures aimed at correction or palliation of these anomalies, they have the potential to cause profound physiological and immunological consequences in the individual patient due to their cardiac and extra-cardiac manifestations. This article aims to review the literature on this rare and extraordinary subset of developmental anomalies with the intention of familiarizing the reader on the modes of presentation, manifestations, and the variations thereof while dealing with this anomaly. In our institutional experience with HS, 75 consecutive patients were seen between January 2011 and September 2018. Of these, 48 (64%) were confirmed to have isomerism of right atrial appendages (IRAA) and the rest had isomerism of left atrial appendages (ILAA). The cardiac and extra-cardiac manifestations of these patients were listed out. Fifty-four patients (34 with IRAA and 20 with ILAA) underwent 83 surgical procedures. While 49 patients were palliated on the univentricular pathway, 5 underwent biventricular repair. The in-hospital mortality was 7 (13%) in both groups combined (5 for patients with IRAA and 2 for ILAA). In conclusion, the surgical management of HS is associated with satisfactory outcomes in current era.

Indexed as

Biventricular repairHeterotaxy syndromeLeft atrial isomerismRight atrial isomerismSingle ventricle

Identifiers

PMID33603285
PMCPMC7859150
OpenAlexW3014050065

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.