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A case of acute aortic dissection type A in a patient with situs inversus
Tetsuya Niino1, Motomi Shiono, Tatsuya Inoue
1Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan. xj8t-nin@asahi-net.or.jp
Abstract:
We report a case of acute aortic dissection type A in a patient with situs inversus. A 33-year-old male, complaining of sudden chest pain, visited our institute. Contrast-enhanced computed tomography and echocardiography suggested Stanford type A acute aortic dissection and dextrocardia. Aortic root and ascending aortic replacement were successfully performed. Antegrade brain-isolated extracorporeal circulation was established. The aortic branch arteries were mirror-image reversed. Anatomic positional relationships and presence or absence of concurrent anomalies should be sufficiently investigated preoperatively in patients with dextrocardia. His postoperative course was uneventful and a postoperative computed tomographic scan confirmed a good result.