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

김동규, 이지민, 허선영, 정종필, 박창률, 이용직, 이상철, 황수경, 김관식,
소속 상세정보
김동규 ( Kim Dong-Kyu ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
이지민 ( Lee Ji-Min ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
허선영 ( Heo Seon-Yeong ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
정종필 ( Jung Jong-Pil ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
박창률 ( Park Chang-Ryul ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
이용직 ( Lee Yong-Jik ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
이상철 ( Lee Sang-Cjeol ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
황수경 ( Hwang Su-Kyung ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
김관식 ( Kim Gwan-Sic ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery

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.

키워드

Aortic dissection; Dextrocardia; Situs inversus totalis

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