Related Experiment Video
Updated: Dec 8, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Abdominal aortic aneurysm in a patient with situs inversus totalis
Diego Téllez-Beltrán1, Alejandro González-Muñoz2, Vladimir Barón-Cifuentes3
1Servicio de Cirugía General, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogotá, Colombia.
Antecedentes:
El situs inversus totalis (SIT) es una condición congénita infrecuente, en la cual los órganos asimétricos del abdomen y el tórax presentan una disposición en espejo; su asociación con aneurismas de aorta abdominal (AAA) es inusual y supone un reto quirúrgico.
Caso ClíNico:
Presentamos el caso de una paciente con SIT y AAA, por lo que se decide llevar a reparación quirúrgica. El AAA en pacientes con SIT es infrecuente; en la literatura hay pocos casos reportados. A pesar de ser una relación inusual, su tratamiento de forma electiva fue segura en nuestra paciente.
Background:
The situs inversus totalis (SIT) is a rare congenital condition, in which the asymmetric organs of the abdomen and thorax have a mirror ubication; its association with abdominal aortic aneurysms, is unusual.
Case Report:
We will present the case of a patient with SIT, who has an abdominal aortic aneurysm, taken to open surgical repair. The presentation of abdominal aortic aneurysms in patients with infrequent SIT, with few reported cases in the literature. Despite being an unusual relationship, elective treatment was safe, as we seen in our patient.
Related Concept Videos
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm III: Interprofessional Care
Abdominal Aorta
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Aneurysm I: Introduction
Veins of Thorax
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...

