Abdominal aortic aneurysm in situs inversus totalis

Area of Science:

• Cardiovascular Surgery
• Medical Imaging
• Anatomical Variations

Background:

• Situs inversus totalis is a congenital condition where major visceral organs are reversed.
• Patients with situs inversus totalis may have associated congenital anomalies, increasing surgical complexity.
• Abdominal aortic aneurysms (AAAs) and iliac artery aneurysms are serious vascular conditions.

Observation:

• A rare case of abdominal aortic aneurysm and a false aneurysm of the right external iliac artery in a patient with situs inversus totalis.
• The anatomical variations associated with situs inversus totalis significantly increase operative risk.
• Successful surgical repair of both aneurysms was achieved.

Findings:

• The successful management of complex vascular pathologies in situs inversus totalis is feasible.
• Accurate pre-operative imaging and meticulous surgical planning are crucial for favorable outcomes.
• This case contributes to the limited literature on managing aortic aneurysms in situs inversus totalis.

Implications:

• Highlights the importance of recognizing and managing anatomical variations in surgical patients.
• Demonstrates that complex aortic and iliac artery aneurysms can be successfully treated in situs inversus totalis.
• Emphasizes the need for tailored surgical approaches in patients with rare congenital conditions.