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

• Main Authors: Dong Kyu Kim, Ji Min Lee, Seon Yeong Heo, Jong Pil Jung, Chang Ryul Park, Yong Jik Lee, Sang Cjeol Lee, Su Kyung Hwang, Gwan Sic Kim
• Format: Article
• Language: English
• Published: Korean Society for Thoracic and Cardiovascular Surgery 2020-10-01
• Series: Korean Journal of Thoracic and Cardiovascular Surgery
• Subjects: aortic dissection; dextrocardia; situs inversus totalis

We describe the occurrence of acute type A aortic dissection in a patient with situs inver-sus 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. Con-trast-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-im-age 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.