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Ann Thorac Surg 1996;62:1474-1479
© 1996 The Society of Thoracic Surgeons

Original Article: General Thoracic

Kartagener's Syndrome: Clinical Presentation and Cardiosurgical Aspects

Tengis Tkebuchava, MD, Urs Niederhäuser, MD, Walter Weder, MD, Ludwig K. von Segesser, MD, Urs Bauersfeld, MD, Heidi Felix, PhD, Mario Lachat, MD, Marko I. Turina, MD

Clinics for Cardiovascular Surgery, Thoracic Surgery and Pediatric Cardiology, Children's Hospital and ENT Department, University Hospital Zurich, Zurich, Switzerland

Accepted for publication May 16, 1996.

Background. Long-term observations in patients with Kartagener's syndrome (situs inversus, bronchiectasis, and sinusitis) are rare. The role of additional cardiac malformations and their surgical repair is not well known.

Methods. Nine patients (5 female and 4 male) with Kartagener's syndrome were identified and followed. Four patients had associated cardiac anomalies; 4 underwent total surgical repair at the ages of 4 (2 patients), 7, and 34 years.

Results. The postoperative period was uneventful, and these 4 patients are doing well 7 months and 2, 9, and 19 years after repair. The other patients are being treated with conservative therapy and are in relatively good condition.

Conclusions. This disease can be temporarily benign when treated with antibiotics and physiotherapy. Associated cardiac anomalies seem to be quite common, and such patients need careful cardiologic follow-up. Surgical intervention can be safely performed in patients suffering from Kartagener's syndrome associated with a congenital cardiac malformation and produces good long-term results. Bilateral lung transplantation seems to be the therapy of choice in patients with respiratory insufficiency but without concomitant cardiac anomalies.




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