ORIGINAL ARTICLE |
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Year : 2021 | Volume
: 34
| Issue : 3 | Page : 1176-1178 |
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Position of the surgeon and its importance during the repair of tetralogy of Fallot in situs inversus totalis
Ayman R Abdelrehim1, Mansour B al Mutairi2, Syed Aitizaz2, Amal A Sakrana3
1 Department of Cardiothoracic Surgery, Menoufia University, Shebin El-kom, Menoufia, Egypt; Madinah Cardiac Center, Madinah Munawwarah, Kingdom of Saudi Arabia 2 Madinah Cardiac Center, Madinah Munawwarah, Kingdom of Saudi Arabia 3 Madinah Cardiac Center, Madinah Munawwarah, Kingdom of Saudi Arabia; Department of Diagnostic and Interventional Radiology, Mansoura University Hospital, Mansoura, Egypt
Correspondence Address:
Ayman R Abdelrehim Department of Cardiothoracic Surgery, Menoufia University, Shebin El-kom, Menoufia; Madinah Cardiac Center, Madinah Munawarrah 41442
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/mmj.mmj_13_21
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Background
Situs inversus totalis is a rare condition that is occasionally associated with congenital heart defects. A few sporadic cases have been reported in the past.
Objectives
The authors present a case of tetralogy of Fallot repair in a child with situs inversus totalis. Imaging studies conclusively proved mirror-image reversal of abdominal and thoracic organs.
Conclusion
The intracardiac repair was only possible when the operating surgeon changed to the opposite (left side) of the operating table. The mirror-image reversal of cardiac structures may require a shift in the position of the operating surgeon to the opposite (left) side of the table to visualize intracardiac defects properly.
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