Infrarenal abdominal aortic aneurysm in a patient with situs inversus totalis and its therapeutic implications

Abstract Background: situs inversus totalis (SIT) is a congenital pathology where the organs acquire a disposition contrary to the usual, “mirror image”. Case report: we present a 58-year-old man with known SIT, followed-up by the vascular surgery service for an infrarenal abdominal aortic aneurysm (AAA) with a transverse diameter of 42 mm with growth to 56 mm, repaired by transabdominal approach, and with satisfying results. Discussion: the coexistence of SIT and AAA is extremely rare, its prevalence being unknown. This publication discusses the possible therapeutic implications of AAA in this situation.