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Ann Thorac Surg 2003;75:1963-1965
© 2003 The Society of Thoracic Surgeons

Case report

A case of acute aortic dissection type a in a patient with situs inversus

Tetsuya Niino, MDa*, Motomi Shiono, MDa, Tatsuya Inoue, MDa, Mitsumasa Hata, MDa, Akira Sezai, MDa, Nanao Negishi, MDa

a Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan

Accepted for publication November 26, 2002.

* Address reprint requests to Dr Niino, Second Department of Surgery, Nihon University School of Medicine, 30-1 Ooyaguchi Kamimachi, Itabashi-ku, Tokyo 173-0081, Japan
e-mail: xj8t-nin{at}asahi-net.or.jp

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.






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