Preferred Label : Right atrial isomerism;
Symbol : RAI;
CISMeF acronym : RAI;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Right isomerism; Asplenia with cardiovascular anomalies; Ivemark syndrome;
Included titles and symbols : Polysplenia syndrome; Polyasplenia; Heterotaxy, visceroatrial, autosomal recessive; Vah, autosomal recessive;
Description : Right atrial isomerism is a severe complex congenital heart defect resulting from
embryonic disruption of proper left-right axis determination. RAI is usually characterized
by complete atrioventricular septal defect with a common atrium and univentricular
AV connection, total anomalous pulmonary drainage, and transposition or malposition
of the great arteries. Affected individuals present at birth with severe cardiac failure.
Other associated abnormalities include bilateral trilobed lungs, midline liver, and
asplenia, as well as situs inversus affecting other organs. Left atrial isomerism
(LAI) is a related disorder with a somewhat better prognosis. LAI is characterized
by bilateral superior vena cava, interruption of the intrahepatic portion of the inferior
vena cava, partial anomalous pulmonary venous drainage, and ventricular septal defect.
Patients with LAI may have polysplenia and bilateral bilobed lungs, as well as situs
inversus affecting other organs. Both RAI and LAI malformation complexes have classically
been referred to as Ivemark syndrome (summary by Eronen et al., 2004 and Kaasinen
et al., 2010).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the growth/differentiation factor 1 gene (GDF1, 602880.0001);
Prefixed ID : #208530;
Origin ID : 208530;
UMLS CUI : C3178806;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)