[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.5090/kjtcs.20.006

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

Kim, Dong Kyu (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Lee, Ji Min (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Heo, Seon Yeong (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Jung, Jong Pil (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Park, Chang Ryul (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Lee, Yong Jik (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Lee, Sang Cjeol (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Hwang, Su Kyung (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)
Kim, Gwan Sic (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School)

Publication Information

Journal of Chest Surgery / v.53, no.5, 2020 , pp. 321-323 More about this Journal

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.

Keywords

Aortic dissection; Dextrocardia; Situs inversus totalis;

Citations & Related Records

Reference

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