A CASE OF SUCCESSFUL SURGICAL TREATMENT OF ASCENDING AORTIC ANEURISM RUPTURE WITH CARDIAC TAMPONADE IN A PATIENT LIVING IN A REMOTE AREA

Abstract

This is a description of a clinical case of a 30-year-old patient with rupture of ascending aorta aneurism due to vascular media degeneration. The rupture gap was associated with cardiac tamponade and shock. As the patient lived in an area remote from a cardiac surgery center, the situation was close to fatal. A team of doctors, which flew forth to the place of the patient’s residence, put a drainage into pericardial cavity which made transportation of the patient for surgery possible. Prostethic repair of ascending aorta with a valve-containing conduit was successful, but there were numerous complications during postoperative period. Longterm (1.5 year after) assessment of the patient showed good results.

Keywords

• ascending aorta aneurism
• media degeneration
• aortic rupture
• cardiac tamponade
• life-saving