Abstract
Dextrocardia is a rare congenital cardiac anomaly where the base-apex
axis of the heart is directed to the right side. It may be associated
with situs solitus, situs inversus, or situs ambiguous. Here we report a
case of a patient with dextrocardia and situs inversus totalis, who had
severe aortic bioprosthetic valve degeneration needing a redo aortic
valve replacement. Computed tomography scan played a crucial role for a
proper preoperative anatomical evaluation and surgical planning.
Regarding our operative strategy, the main surgeon stood on the left
side of the patient to perform most surgical steps. This surgical
management played an important role for the good result in this
technically challenging scenario.