Abstract
The incidence of situs inversus totalis is 1/10,000 to 1/50,000 live births. A 43-year-old female patient was incidentally diagnosed to have situs inversus totalis with severe mitral and aortic stenosis. The patient was thoroughly assessed, and the plan of surgery was modified accordingly. Under cardiopulmonary bypass, the mitral valve and aortic valve were replaced with 27-size and 19-size St. Jude medical mechanical valve, respectively, while the operating surgeon stood on left side. The postoperative period was uneventful. Thorough assessment and preoperative planning are essential for success in such cases.