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Case Reports
. 2020 Jul 31;2020(7):rjaa197.
doi: 10.1093/jscr/rjaa197. eCollection 2020 Jul.

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

Emanuele Gatta  1 , Sara Schiavon  1 , Gabriele Pagliariccio  1 , Perla Persechini  1 , Luciano Carbonari  1
Affiliations
Case Reports

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

Emanuele Gatta et al. J Surg Case Rep. .

Abstract

Situs inversus totalis (SIT) refers to a mirror-image reversal of the internal organ position. The coexistence of abdominal aortic aneurysm and SIT is extremely rare; very short series have been reported; therefore its prevalence has never been estimated. The presence of anatomical anomalies could increase operative risk. The authors describe a case of successfully repaired pararenal abdominal aortic aneurysm with a right retroperitoneal approach in situs inversus totalis.

Keywords: pararenal aneurysm; right retroperitoneal approach; situs viscerum inversus.

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Figures

Figure 1
Figure 1
Angio-CT scan showing 7 cm pararenal aortic aneurysm.
Figure 2
Figure 2
Operative room view showing mirrored setup as compared to routine thoraco–phreno–laparotomy access.
Figure 3
Figure 3
Intraoperative view showing left renal artery replacement on the tube graft with T-L anastomosis, renal perfusion guaranteed by Anatomically right heart bypass.
Figure 4
Figure 4
Postoperative angio-CT scan.
See this image and copyright information in PMC

References

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