Case Presentation: The patient is a 24-year-old female with Situs Inversus Totalis (SIT), obesity, Stage D non-ischemic dilated cardiomyopathy (NIDCM), history of out of hospital cardiac arrest (ventricular fibrillation arrest) with subsequent dual chamber implantable cardioverter-defibrillator (ICD) placement who was managed as an outpatient on home inotrope therapy as a bridge pending left ventricular assist [...]