Aortic Arch Rerouting and OPCAB in a Patient With Situs Inversus Totalis

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Endovascular therapy approaches for aortic aneurysm have lowered the mortality and morbidity rates even in highrisk 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.