title: Successful endovascular infrarenal aneurysm repair in a patient with situs inversus totalis.
abstract: Situs inversus totalis is a rare autosomal recessive developmental anomaly. There are very few reports in the published literature of abdominal aortic aneurysm in patient with situs inversus totalis, all of whom underwent open aneurysm repair. This is the first case in the world's literature to describe a patient with situs inversus totalis who had a successful endovascular infrarenal aneurysm repair. Although endovascular infrarenal aneurysm repair should not be more challenging, the endovascular approach may decrease risk of potential errors because of unfamiliar anatomy. Technical considerations in performing endovascular procedures in patients with situs inversus totalis are discussed in this article.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, P.R. China. ycchan88@hkucc.hku.hk
authors.forename: Yiu-Che
authors.initials: YC
authors.lastname: Chan
authors.forename: Albert C
authors.initials: AC
authors.lastname: Ting
authors.forename: Kai Xiong
authors.initials: KX
authors.lastname: Qing
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Cheng
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D012857:Situs Inversus / Q000150:complications*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome