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

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.

Replacement of the aortic valve, ascending aorta and arch in a patient with dextrocardia in the context of situs inversus totalis: a case report

“…Также ряд авторов опубликовали кардиохирургические операции при декстрокардии и транспозиции внутренних органов, в т.ч. и при расслоении аорты [4][5][6].…”