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Ann Thorac Surg 2006;81:2294-2296
© 2006 The Society of Thoracic Surgeons

Case report

Stanford Type A Acute Aortic Dissection Caused by Blunt Trauma in a Patient with Situs Inversus

Katsuaki Magishi, MD * , Yuichi Izumi, MD, Noriyuki Ishikawa, MD, Fumiaki Kimura, MD

Department of Thoracic and Cardiovascular Surgery, Nayoro City General Hospital, Hokkaido, Japan

Accepted for publication August 29, 2005.

* Address correspondence to Dr Magishi, Department of Thoracic and Cardiovascular Surgery, Nayoro City General Hospital, Nishi 7-Minami 8, Nayoro, Hokkaido, 096-8511 Japan (Email: k-magishi{at}k5.dion.ne.jp).

We report a case of Stanford type A acute aortic dissection caused by blunt trauma in a patient with situs inversus. A 57-year-old man was involved in an explosion accident. It was indicated that he had suffered Stanford type A acute aortic dissection, cardiac tamponade, and situs inversus by contrast enhanced computed tomography and echocardiography. With the introduction of anesthesia, he went into shock. An extracorporeal circuit was immediately introduced with heart massage. The ascending aorta was replaced with a prosthesis using cardiopulmonary bypass. The branches of the aortic arch were mirror-image reversed. The patient's general condition improved, and he was discharged from our department 3 weeks after the operation.






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