Summary:
Chennai, Tamil Nadu, India (NewsVoir) • A Sixty-Six-Year-Old Man with Congenital SitusInversus Totalis with bilateral Bronchiectasis and Acute type A Aortic dissection undergoes the surgery with total thoracic aorta replacement In a first-of-its-kind surgery in India, Cardiothoracic Vascular Surgeons at SIMS Hospitals, Vadapalani, headed by Dr.
VV Bashi, Director and Senior Consultant - Institute of Cardiac & Advanced Aortic Diseases, SIMS, Hospitals, Vadapalani, performed an extremely challenging Aortic Root and Arch Replacement Surgery on a 66 year male from Andhra Pradesh, presenting with SitusInversusTotalis, a rare medical condition, in which the patient’s internal organs were reversed or mirrored from their normal positions.
Patient History and Line of Treatment The 66-year-old gentleman presented with severe chest pain and cough to a local hospital in Andhra Pradesh.
Surprisingly, the local doctor looking at the Chest Xray diagnosed him with SitusInversusTotalis - An extremely rare clinical condition from birth, in which all the right-sided organs are present on the left side and the left-sided organs of the body are present on the right side.
In short it is a case of mirror anatomy.
To complicate further, the patient also had an acute Type A Aortic Dissection requiring a high risk emergency surgical procedure, in addition to severe long standing infection in both the lungs (Chronic Bronchiectasis).
Owing to the rarity of his medical condition and the need for a challenging and complicated surgery, (as surgeons they were not well-versed in operating such a patient and the hospital not well equipped to meet such rare condition), the local doctors promptly referred him to SIMS Hospitals, Vadapalani, Chennai.
Elaborating on the case and the rare condition of the patient, Dr.
VV.