Japanese Journal of Cardiovascular Surgery  2016;45(6):299-301

doi:10.4326/jjcvs.45.299

Total Arch Replacement in a Patient with Type A Acute Aortic Dissection and Situs Inversus Totalis

Muneaki Yamada ; Yasuyuki Kato ; Aya Takahashi ; Daisuke Shiomi ; Hiroshi Kiyama

Keywords

situs inversus totalis; dextrocardia; total arch replacement; type A acute aortic dissection

Country

Japan

Language

Japanese

Abstract

We report a case of type A acute aortic dissection in a patient with situs inversus totalis. A 51-year-old man was hospitalized with sudden-onset back pain. Contrast-enhanced computed tomography revealed Stanford type A acute aortic dissection and situs inversus totalis. Total arch replacement using selective cerebral perfusion and mild hypothermic circulatory arrest was successfully performed. He was discharged home 23 days after the operation.