title: A case of acute aortic dissection type A in a patient with situs inversus.
abstract: 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.
authors.affiliation: Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan. xj8t-nin@asahi-net.or.jp
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Niino
authors.forename: Motomi
authors.initials: M
authors.lastname: Shiono
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Inoue
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Hata
authors.forename: Akira
authors.initials: A
authors.lastname: Sezai
authors.forename: Nanao
authors.initials: N
authors.lastname: Negishi
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003914:Dextrocardia / Q000175:diagnosis / Q000601:surgery; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D012857:Situs Inversus / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed