Anaesthetic challenges in staged repair of coarctation and severe aortic stenosis in dextrocardia with situs inversus.
Sohini Ghosh, Sonali Mali, Uday Gandhe et al.
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Case in brief
A 53-year-old male with dextrocardia and situs inversus presented with severe aortic stenosis, a bicuspid aortic valve, an ascending aortic aneurysm, and post-ductal coarctation of the aorta. He underwent staged surgical repairs, starting with coarctation repair through a right posterolateral thoracotomy, followed by a modified Bentall procedure five months later. The multidisciplinary approach facilitated successful management of this complex case.
What made this case unusual
The combination of dextrocardia, situs inversus, and multiple cardiac anomalies presented significant diagnostic and perioperative challenges, making this case particularly noteworthy.
Diagnostic / clinical pearl
Clinicians should be aware that congenital anomalies like dextrocardia and situs inversus can complicate the diagnosis and management of coarctation of the aorta.
Why it matters
This case highlights the importance of tailored anesthetic management and multidisciplinary collaboration in complex congenital heart disease scenarios.