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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Acute Type A Aortic Dissection in a Patient with Situs Inversus Totalis
Dong Kyu Kim1, Ji Min Lee1, Seon Yeong Heo1
1Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School, Ulsan, Korea.
Abstract:
We describe the occurrence of acute type A aortic dissection in a patient with situs inversus totalis. A 37-year-old man presented to the emergency department with acute chest pain. Initial chest X-ray findings showed a right-sided heart and a left-sided liver. Contrast- enhanced computed tomography revealed a Stanford type A acute aortic dissection, aortic root dilatation, and situs inversus totalis. All of the thoracic structures were mirror-image reversed and an abnormal coronary artery was observed. The Bentall operation was performed. This report demonstrates that computed tomography and echocardiography were useful for understanding the anatomy and the presence or absence of concurrent anomalies in a patient with situs inversus totalis. The patient's postoperative course was uneventful.
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