Kato Takayoshi, Takagi Hisato, Sekino Seishiro, Manabe Hideaki, Matsuno Yukihiro, Umemoto Takuya
Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan.
Ann Vasc Surg. 2006 Mar;20(2):267-70. doi: 10.1007/s10016-006-9015-1. Epub 2006 Mar 21.
Situs inversus totalis refers to a mirror-image reversal of the normal position of the internal organs. The recognition of concomitant anomalies, such as in the cardiac, venous, gastrointestinal, and urinary systems, is extremely important because these anomalies may disturb the surgical procedure for the concurrent disease in situs inversus totalis. The authors describe a case of successfully repaired abdominal aortic aneurysm with a false aneurysm of the right external iliac artery in situs inversus totalis. The coexistence of abdominal aortic aneurysm has been seldom encountered. The presence of anatomical anomalies significantly increases operative risk. The surgical management of patients with abdominal aortic aneurysm in situs inversus totalis is discussed.
全内脏反位是指内脏正常位置的镜像反转。识别合并的异常情况，如心脏、静脉、胃肠道和泌尿系统的异常，极为重要，因为这些异常可能干扰全内脏反位患者并发疾病的手术过程。作者描述了一例成功修复全内脏反位患者腹主动脉瘤合并右髂外动脉假性动脉瘤的病例。腹主动脉瘤合并存在的情况很少见。解剖学异常的存在显著增加了手术风险。本文讨论了全内脏反位腹主动脉瘤患者的手术治疗。
