title: Aortic arch rerouting and OPCAB in a patient with situs inversus totalis.
abstract: Endovascular therapy approaches for aortic aneurysm have lowered the mortality and morbidity rates even in high-risk patients; moreover, these approaches are applied in the management of aortic arch pathologies by transposition of the supra-aortic branches. We present the case of a 75-year-old female patient with situs inversus totalis on hemodialysis. The patient underwent off-pump aortic arch rerouting and thoracic endovascular aortic repair concomitant with coronary artery bypass grafting for distal aortic arch aneurysm and ischemic heart disease.
authors.affiliation: Department of Cardiovascular Surgery, Kitasato University School of Medicine.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Irisawa
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kitamura
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Taketani
authors.forename: Naoji
authors.initials: N
authors.lastname: Hanayama
authors.forename: Norihiko
authors.initials: N
authors.lastname: Oka
authors.forename: Takahiro
authors.initials: T
authors.lastname: Tomoyasu
authors.forename: Keiichi
authors.initials: K
authors.lastname: Itatani
authors.forename: Miyuki
authors.initials: M
authors.lastname: Shibata
authors.forename: Hidenori
authors.initials: H
authors.lastname: Hayashi
authors.forename: Takamichi
authors.initials: T
authors.lastname: Inoue
authors.forename: Kagami
authors.initials: K
authors.lastname: Miyaji
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012857:Situs Inversus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed