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ORIGINAL ARTICLE
Year : 2021  |  Volume : 34  |  Issue : 3  |  Page : 1176-1178

Position of the surgeon and its importance during the repair of tetralogy of Fallot in situs inversus totalis


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

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Source of Support: None, Conflict of Interest: None


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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