Niino Tetsuya, Shiono Motomi, Inoue Tatsuya, Hata Mitsumasa, Sezai Akira, Negishi Nanao
Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Ann Thorac Surg. 2003 Jun;75(6):1963-5. doi: 10.1016/s0003-4975(02)05007-5.
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.
