Situs inversus totalis and anomalous origin of the left coronary artery are rare conditions. An 87-year-old woman with both conditions presented to the authors' hospital with symptomatic aortic stenosis. She underwent aortic valve replacement (AVR) and coronary artery bypass grafting (CABG; saphenous vein graft to the left main trunk). The operator mainly stood on the left side of the patient and performed surgery without difficulty. Both, AVR and CABG were successfully performed despite these two rare conditions. Open-heart surgery in a very elderly patient with both of these rare conditions has not previously been reported.

How to cite: Kono, T., Takaseya, T., Shojima, T., Takagi, K., Akasu, K., & Tanaka, H. (2016). Aortic Valve Replacement in Dextrocardia and Anomalous Origin of the Coronary Artery. The Journal of heart valve disease, 25(5), 641–643.