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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Profound bilateral deafness complicating aortic arch surgery.

Fabienne Carré1,2, Elisabeth Mamelle3,4, Suzanne Ferrier1,2

  • 1ENT Department, AP-HP, Georges Pompidou European Hospital, Paris, France.

Interactive Cardiovascular and Thoracic Surgery
|January 15, 2021
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Summary

Sudden profound bilateral deafness is a rare complication of cardiac surgery. This case report details a 45-year-old male experiencing this after aortic arch surgery with a frozen elephant trunk.

Keywords:
Bilateral deafnessCardiopulmonary bypassCirculatory arrestFrozen elephant trunk

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Area of Science:

  • Cardiology
  • Otolaryngology
  • Neurosurgery

Background:

  • Cardiac surgery, particularly aortic arch procedures, carries risks.
  • Hearing loss is an exceptionally rare complication of cardiac surgery.
  • Sudden profound bilateral deafness has not been previously reported in this context.

Observation:

  • A 45-year-old male patient developed sudden profound bilateral deafness.
  • The hearing loss occurred post-aortic arch surgery with a frozen elephant trunk procedure.
  • The patient's clinical presentation and surgical details were documented.

Findings:

  • The case highlights an unprecedented instance of bilateral profound deafness following complex cardiac surgery.
  • The report discusses potential etiological mechanisms linking the surgery to the hearing loss.
  • This represents the first documented case of such a severe auditory complication in this surgical setting.

Implications:

  • This case expands the known spectrum of rare complications associated with aortic arch and frozen elephant trunk surgery.
  • Understanding the etiological mechanisms is crucial for potential prevention or management strategies.
  • Further research may be warranted to investigate the link between specific surgical techniques and auditory nerve function.