Abstract

Rationale: Mesocardia is the heart in the middle compartment of the chest. The human heart is normally located within the thoracic cavity, medially between the lungs in the mediastinum. Marfan syndrome is an autosomal dominant disorder and multi-systemic genetic disorder that affects the connective tissue. Dextrocardia is a rare congenital condition in which the apex of the heart is located on the right side of the body rather than towards the left. Heterotaxy syndromes refer to abnormal left/right distribution of thoracic and abdominal organs that is neither situs solitus nor situs inversus. They are commonly associated with congenital heart disease (CHD) and visceral malformations. There is either left or right isomerism also present in Heterotaxy syndromes.
Patient concerns: A 17-year-old adolescent single-student male patient was presented to the intensive care unit (ICU) with angina and alternation of the chest pain referral to both arms.
Diagnosis: Right to left angina Yasser’s syndrome (Swinging Yasser’s central heart syndrome) or Dancing Yasser’s heart syndrome in an adolescent male patient.
Interventions: Electrocardiography and echocardiography.
Outcomes: Spontaneous dramatic clinical, and electrocardiographic improvement with no medications had happened.
Lessons: Right to left angina Yasser’s syndrome (Swinging Yasser’s central heart syndrome) or Dancing Yasser’s heart syndrome is a new and innovative cardiovascular syndrome. Due to some similarities, dextrocardia, Marfan syndrome, and Heterotaxy syndrome are implicated in Differentiation. Dancing hyperactivity, traction, and twisting theories are interpretative suggested theories for this new syndrome.

Keywords:Mesocardia; Marfan syndrome; Dextrocardia; Heterotaxy syndromes; Axis shifting; Right to left angina Yasser’s syndrome; Swinging Yasser’s central heart syndrome; Dancing Yasser’s heart syndrome

Abbreviations:CBC: Complete Blood Count; CHD: Congenital Heart Disease; CXR: Chest Radiography; ECG: Electrocardiography; IHD: Ischemic Heart Disease; ICU: Intensive Care Unit; MFS: Marfan Syndrome; RAD: Right Axis Deviation; SGOT: Serum Glutamic-Oxaloacetic Transaminase; SGPT: Serum Glutamic- Pyruvic Transaminase; VR: Ventricular Rate