reporting a case of isolated levocardia

Isolated levocardia with situs inversus is a rare congenital anomaly characterized by the abnormal positioning of the heart and abdominal organs. this condition is frequently associated with congenital heart defects and typically carries a poor prognosis. accurate diagnosis and effective management are crucial for improving clinical outcomes. this report presents a case involving a 25-year-old woman in her first pregnancy who underwent a routine ultrasound at 17 weeks and 2 days of gestation. the ultrasound revealed dextrocardia with situs inversus, prompting a referral to a pediatric cardiologist. subsequent echocardiography at 18 weeks confirmed the presence of the stomach on the right side and a reversed heart axis, leading to a diagnosis of isolated levocardia with atrioventricular septal defects (avsds). the pregnancy was medically terminated at 19 weeks, following appropriate medical approval.