title: Stanford type A acute aortic dissection caused by blunt trauma in a patient with situs inversus.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Nayoro City General Hospital, Hokkaido, Japan. k-magishi@k5.dion.ne.jp
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Magishi
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Izumi
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Ishikawa
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Kimura
mesh_terms: D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000293:injuries* / Q000601:surgery; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D001753:Blast Injuries / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002305:Cardiac Tamponade / Q000209:etiology; D002315:Cardiopulmonary Bypass; D002543:Cerebral Hemorrhage / Q000209:etiology; D005112:Extracorporeal Circulation; D006336:Heart Massage; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012769:Shock / Q000209:etiology / Q000628:therapy; D012857:Situs Inversus / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*