We present a rare case of tetralogy of Fallot accompanied with dextrocardia, situs inversus and anomalous origin of the right coronary artery. Total repair was accomplished successfully using a minimally invasive left axillary thoracotomy.
Keywords: Minimally invasive cardiac surgery; anomalous origin of the right coronary artery; dextrocardia; left axillary thoracotomy; situs inversus; tetralogy of fallot.