Introduction
Dextrocardia is a cardiac abnormality in which the main cardiac axis is directed to the right and caudally. It may be associated with situs solitus, situs inversus, or situs ambiguous. Dextrocardia with situs inversus totalis means the heart and all other visceral organs are the mirror image of normal position. The incidence of dextrocardia with situs inversus totalis is 1/10,000 to 50,000 births [1].
The surgical management of such cases require a good operative planning involving the surgical team arrangement to overcome the technical challenges and achieve an optimal outcome.
Here we report the case of a patient with dextrocardia and situs inversus totalis, who had severe aortic bioprosthetic valve degeneration needing a redo aortic valve replacement.