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Case Reports
. 2016 Aug 20;2(3):92-94.
doi: 10.1016/j.jvscit.2016.04.002. eCollection 2016 Sep.

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

Matt A Cwinn  1 , Alex Morzycki  2 , Min Lee  3 , Peter Midgley  3
Affiliations
Case Reports

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

Matt A Cwinn et al. J Vasc Surg Cases Innov Tech. .

Abstract

Situs inversus totalis (SIT) is a rare condition characterized by the mirror image location of all of the thoracic and abdominal organs. There are only a handful of reports documenting the presence and repair of an abdominal aortic aneurysm in the setting of SIT. Here, we present a rare case of a juxtarenal abdominal aortic aneurysm repaired through a retroperitoneal approach in a patient with SIT. We demonstrate that the retroperitoneal approach is a safe and effective method to manage complex aortic aneurysm disease in a patient with SIT.

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Figures

Fig 1
Fig 1
Chest radiograph demonstrating the presence of dextrocardia. L denotes left side.
Fig 2
Fig 2
Computed tomography demonstrating the presence of a large abdominal aortic aneurysm (AAA) as well as situs inversus totalis (SIT). A, Coronal image demonstrating the maximum diameter of the AAA. B and C, Axial images of the right (B) and left (C) iliac arteries. D and E, Coronal (D) and axial (E) images demonstrating aneurysmal degeneration at the level of the renal arteries. The arrow in E indicates the origin of the left renal artery. Note the presence of dextrocardia and the inverse location of the liver, stomach, and spleen in images (B) and (D).
See this image and copyright information in PMC

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