title: Liver Transplantation in an Adult Recipient With Situs Inversus Totalis: Case Report and Review of the Literature.
abstract: BACKGROUND
  Over the past few decades, reports have demonstrated the feasibility of liver transplantation in adult patients with situs inversus. However, this disease entity remains rare and experience remains limited in adult recipients with situs inversus undergoing transplantation.
  
  
  METHODS
  A 23-year-old woman with situs inversus totalis and end-stage liver disease secondary to congenital biliary atresia was referred to our center and underwent a successful orthotopic liver transplantation.
  
  
  RESULTS
  We report our experience and review the literature. We performed a modified piggy-back technique with cavo-cavostomy. Using a triangulated wide orifice, the suprahepatic cava was anastomosed in an end-to-side fashion. The patient underwent an uneventful hospitalization and recovery.
  
  
  CONCLUSIONS
  Situs inversus remains a rare condition. Careful perioperative planning, thorough anatomic knowledge of both donor and recipient liver, and use of a variety of different novel techniques can lead to successful outcomes.
authors.affiliation: Department of Transplantation, Recanati/Miller Transplantation Institute, Mount Sinai Medical Center, New York, New York, USA.
authors.forename: P
authors.initials: P
authors.lastname: Tabrizian
authors.affiliation: Department of Anesthesiology, Mount Sinai Medical Center, New York, New York, USA.
authors.forename: T T
authors.initials: TT
authors.lastname: Joseph
authors.affiliation: Department of Transplantation, Recanati/Miller Transplantation Institute, Mount Sinai Medical Center, New York, New York, USA.
authors.forename: P
authors.initials: P
authors.lastname: Radkani
authors.affiliation: Department of Anesthesiology, Mount Sinai Medical Center, New York, New York, USA.
authors.forename: E
authors.initials: E
authors.lastname: Cohen
authors.affiliation: Department of Transplantation, Recanati/Miller Transplantation Institute, Mount Sinai Medical Center, New York, New York, USA. Electronic address: marcelo.facciuto@mountsinai.org.
authors.forename: M
authors.initials: M
authors.lastname: Facciuto
mesh_terms: D001656:Biliary Atresia / Q000150:complications / Q000209:etiology; D058625:End Stage Liver Disease / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000379:methods; D012857:Situs Inversus / Q000150:complications / Q000601:surgery*; D055815:Young Adult