Leriche syndrome in a patient with situs inversus totalis.

Abstract:

:Situs inversus is a rare congenital defect defined by a mirror image anatomic variation of the thoracic and abdominal organs. In this situation, abdominal aortic surgery may become particularly challenging. This is the case of a 51-year-old man, who presented with an incapacitating lower limb claudication. On his workup, a complete occlusion of the infrarenal aorta requiring surgical revascularization was found. Additionally, a situs inversus totalis was identified along with a single horseshoe kidney. The patient underwent uneventfully a surgical aortobifemoral interposition. The sole modification to the standard procedure regarded the graft limbs tunneling, which was performed in a prerenal pathway in the retroperitoneal space, thus avoiding iatrogenic injury to the anteriorly positioned iliac veins. Although challenging, conventional aortic surgery can be safely accomplished in patients with situs inversus totalis.

journal_name

Ann Vasc Surg

authors

Oliveira N,Oliveira F,Dias E,Borges L,Cássio I

doi

10.1016/j.avsg.2015.02.023

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1317.e5-8

issue

6

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(15)00392-1

journal_volume

29

pub_type

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