Acute Type A Aortic Dissection in a Patient with Situs Inversus Totalis

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...

Full description

Saved in:
Bibliographic Details
Published in:Journal of chest surgery 2020, 53(5), , pp.321-323
Main Authors: Kim, Dong Kyu, Lee, Ji Min, Heo, Seon Yeong, Jung, Jong Pil, Park, Chang Ryul, Lee, Yong Jik, Lee, Sang Cjeol, Hwang, Su Kyung, Kim, Gwan Sic
Format: Article
Language:English
Subjects:
aortic dissection
Case Report
dextrocardia
situs inversus totalis
흉부외과학
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:2233-601X
2765-1606
2093-6516
2765-1614
DOI:10.5090/kjtcs.20.006