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

Authors

Amal A. Sakrana, Madinah Cardiac Center
Ayman R. Abdelrehim, Menoufia UniversityFollow
Mansour B. al Mutairi, Madinah Cardiac Center
Syed Aitizaz, Madinah Cardiac Center

Abstract

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.

Subject Area

Orthopedic Surgery

Article Type

Original Study

Recommended Citation

Sakrana, Amal A.; Abdelrehim, Ayman R.; al Mutairi, Mansour B.; and Aitizaz, Syed (2021) "Position of the surgeon and its importance during the repair of tetralogy of Fallot in situs inversus totalis," Menoufia Medical Journal: Vol. 34: Iss. 3, Article 67.
DOI: https://doi.org/10.4103/mmj.mmj_13_21