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

（Department of Cardiovascular Surgery, Saitama Sekishinkai Hospital＊, Sayama, Japan）

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.

 

Jpn. J. Cardiovasc. Surg. 45:299-301（2016）

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