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.