Summative Diagnosis:
Cardiovascular phenotypes: Dextrocardia associated with situs inversus totalis and also complex congenital heart disease associated with heterotaxy.

Noncardiovascular phenotype: Visceral organ situs anomalies, tracheal epithelia exhibits immotile cilia.

Fyler Codes
The Fyler code developed by The Boston Children's Heart Foundation in Boston Children's Hospital provides a hierarchical clinical diagnosis of congenital cardiovascular defects and other disorders. These codes are used to delineate pathology in the mutant mouse models that parallel human disease and can be cross referenced to the International Pediatric and Congenital Cardiac Code (IPCCC) (http://www.ipccc.net/).

Fyler Codes	Code Description
100	Situs inversus totalis
110	Dextrocardia
3816	Abdominal situs inversus
4851	Kartagener syndrome (siewart syndrome)(primary ciliary dyskinesia)