Related Experiment Video
Updated: Aug 19, 2026
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Arch and Frozen Elephant Trunk Repair for Aortic Dissection in Pregnancy With Situs Inversus Totalis
Yi Yang1, Yipeng Ge1, Chengnan Li1
1Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Capital Medical University, Beijing 100029, China.
Objective:
Acute type A aortic dissection during pregnancy with situs inversus totalis is exceptionally rare.
Methods:
We report a 27-year-old woman at 24 weeks of gestation who underwent emergency ascending aortic and total arch replacement with frozen elephant trunk implantation.
Results:
Fetal demise occurred on postoperative day 1, but the mother recovered without neurological deficit and remained well at 10-year follow-up.
Conclusions:
This case demonstrates the feasibility of complex arch repair in mirror-image anatomy and highlights the importance of individualized operative planning and multidisciplinary maternal-fetal management in experienced aortic centres.
