Abdominal Aortic Aneurysm in Situs Inversus Totalis

Repair of a juxtarenal abdominal aortic aneurysm in a patient with situs inversus totalis using a retroperitoneal approach

“…The presence of AAA in situs inversus is uncommon, with only a small number of case reports describing this condition. [5][6][7][8][9] Consequently, the ideal surgical approach in a patient with SIT and AAA is unknown. Kimura et al described performing a right-sided thoracotomy with proximal aortic cross-clamping to gain vascular control in a patient with SIT and aneurysmal rupture.…”

Situs inversus totalis and abdominal aortic aneurysm: Surgical repair of an extremely uncommon association

“…Coexistence of abdominal aortic aneurysm and SIT is extremely rare, so its prevalence has never been estimated, because only seven cases have been reported [4–10] .…”

“…Kato et al [4] reported a case of SIT and AAA with satisfactory results using traditional surgical approach. Occhionorelli et al [5] disclosed a case of symptomatic AAA with SIT requiring emergency surgery by mid-line laparotomy following the usual technique without complications.…”

Pararenal aortic aneurysm in situs inversus totalis: open repair with right retroperitoneal approach

“…In literature there are few series reporting aortic aneurysm associated with SIT. Good results are reported with median laparotomic approach (in elective and emergency setting) and in endovascular treatment [ 3–6 ].…”