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CASE REPORT
Year : 2020  |  Volume : 53  |  Issue : 5  |  Page : 191-194

Surgical treatment of Stanford type A dissection for a patient with situs inversus


1 Department of Cardiovascular Surgery, School of Medicine, Taipei Medical University; Division of Cardiovascular Surgery, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei; Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan
2 Division of Cardiovascular Surgery, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei; Department of Cardiovascular Surgery, School of Medicine, Tzu Chi University, Hualien, Taiwan

Correspondence Address:
Kuei-Ton Tsai
Division of Cardiovascular Surgery, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Road, Xindian District, New Taipei City, 231
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/fjs.fjs_4_19

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Situs inversus totalis represents a positional anomaly of fetal development, in which the heart is right sided with inverted atria, along with mirror-imaged malposition of other visceral organs. Situs inversus totalis is frequently associated with concurrent cardiac anomaly of the patient. Therefore, in the event of life-threatening conditions such as acute aortic dissection, effective surgical planning, and optimal management are crucial to survival. We report the rare case of a 66-year-old male with situs inversus totalis and type A aortic dissection who, sustaining abdominal visceral ischemia and paraplegia at the initial presentation, had then undergone successful aortic graft reconstruction. Besides, a brief review of literature is presented with regard to situs inversus and aortic dissection.


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