DOI: 10.1093/icvts/ivag223 ISSN: 2753-670X
Arch and Frozen Elephant Trunk Repair for Aortic Dissection in Pregnancy With Situs Inversus Totalis
Yi Yang, Yipeng Ge, Chengnan Li, Junming ZhuAbstract
Objective
Acute type A aortic dissection during pregnancy with situs inversus totalis is exceptionally rare.
Methods
We report a 27-year-old woman at 24 weeks of gestation who underwent emergency ascending aortic and total arch replacement with frozen elephant trunk implantation.
Results
Fetal demise occurred on postoperative day 1, but the mother recovered without neurological deficit and remained well at 10-year follow-up.
Conclusions
This case demonstrates the feasibility of complex arch repair in mirror-image anatomy and highlights the importance of individualized operative planning and multidisciplinary maternal-fetal management in experienced aortic centres.