Korean J Thorac Cardiovasc Surg.  2020 Oct;53(5):321-323. 10.5090/kjtcs.20.006.

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

• Kim DK
• Lee JM
• Heo SY
• Jung JP
• Park CR
• Lee YJ
• Lee SC
• Hwang SK
• Kim GS

• KMID: 2507352
• DOI: http://doi.org/10.5090/kjtcs.20.006

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.

Keyword

Aortic dissection; Dextrocardia; Situs inversus totalis