Thorac Cardiovasc Surg 2005; 53(4): 223-225
DOI: 10.1055/s-2005-837704
Original Cardiovascular

© Georg Thieme Verlag KG Stuttgart · New York

Replacement of a Severe Chronic Post-Traumatic Aneurysm of the Ascending Aorta with Aortic Valve Conduit - Reconstruction of the Anterior Mitral Valve Ring and Implantation of A-V Sequential/Biventricular Pacemaker

O.-W. Mensah1 , A. Fried1 , M. Jepsen1 , A. Auricchio2 , H. Klein2 , C. Huth1
  • 1Klinik für Herz- und Thoraxchirurgie, Universitätsklinik Magdeburg, Germany
  • 2Klinik für Kardiologie, Universitätsklinik Magdeburg, Germany
Further Information

Publication History

Received December 21, 2004

Publication Date:
22 July 2005 (online)

Abstract

We present the case of a 23-year-old African professional footballer who was admitted on April 1, 1999 to the Cardiology Department of the University Hospital in Magdeburg, on an emergency basis, from a regional lung clinic. According to the history, he was involved in a collision with an opposing player during a football match in his country (in Africa). He lost consciousness for a short time, but continued playing to the end of the match. About two months later he was invited by a German football club for a check-up, with the view to ultimately playing for the club. The team did not find him physically fit enough to play professional football, so he decided to go to Paris by bus on March 31, 1999. During the journey he suddenly became cardio-pulmonary decompensated and had to undergo cardio-pulmonary resuscitation (CPR). He was intubated and placed on a respirator and immediately transferred to a nearby lung clinic. From the lung clinic he was transferred to the Intensive Care Unit of the Cardiology Department of the Magdeburg University Hospital, on April 1, 1999 as an emergency case. He was intensively treated with catecholamines, intravenous ACE inhibitors and diuretics. His clinical condition did not improve appreciably. His chest X-ray showed extreme dilatation of the right and left heart as well as extreme pulmonary congestion.

References

  • 1 Bental H, De Bono A. A technique for complete replacement of the ascending aorta.  Thorax. 1968;  23 338-339
  • 2 Cabrol C, Pavie A, Gandjbakhch I. et al . Complete replacement of the ascending aorta with reimplantation of the coronary arteries. New surgical approach.  J Thorac Cardiovasc. 1981;  81 309-315
  • 3 Luciani G B, Casali G, Barozzi L, Mazzucco A. Aortic root replacement with the arboreal composite graft: 7-year experience with the first two implants.  Ann Thorac Surg. 1999;  68 2258-2262
  • 4 Kaiser L R, Kron I L, Spray T L. Mitral Valve Repair, Myxomatous Rheumatic Valve. Mastery of Cardio-Thoracic Surgery. Philadelphia; Lippincott-Raven Publishers 1998
  • 5 Bakker P, Meijburg M, de Tonge N, van Mechelen R, Wittkamp F, Mower M. et al . Beneficial effects of biventricular pacing in congestive heart failre (abstract).  Pacing Clin Electrophysiol. 1994;  17 820
  • 6 Auricchio A, Stellbrink C, Block M, Sack S, Vogt I, Bakker P. et al . Effect of pacing chamber and atrioventricular delay on acute function of paced patients with congestive heart failure. The pacing therapies for Congestive Heart Failure Study Group.  The Guidant Circulation. 1999;  99 2993-3001.1
  • 7 Breithardt O A, Stellbrink C, Franke A, Auricchio A, Huvelle E, Sack S. et al . Echocardiographic evidence of hemodynamic and clinical improvement in patients paced for heart failure.  Am J Cardiol. 2000;  86 133-137

O.-W. Mensah

Medizinische Fakultät
Klinik für Herz- und Thoraxchirurgie
Otto-von-Guericke-Universität Magdeburg

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39120 Magdeburg

Phone: + 49(0)3916714100

Fax: + 49 (0) 39 16 71 41 27

Email: christof.huth@medizin.uni-magdeburg.de