Almanac of Clinical MedicineAlmanac of Clinical Medicine2072-05052587-9294Moscow Regional Research and Clinical Institute (MONIKI)28010.18786/2072-0505-2015-38-149-152A CASE OF SUCCESSFUL SURGICAL TREATMENT OF ASCENDING AORTIC ANEURISM RUPTURE WITH CARDIAC TAMPONADE IN A PATIENT LIVING IN A REMOTE AREATsekhanovichV. N.<p>MD, PhD, Head of Department of Cardiac Surgery; Professor of Chair of Faculty Surgery with Urology Course</p>fake@neicon.ruMorovaN. A.<p>MD, PhD, Professor of Chair of In-hospital Therapy with Endocrinology Course</p>nataliya-morova@yandex.ruMalkovA. V.<p>PhD, Cardiovascular Surgeon, Department of Cardiac Surgery</p>fake@neicon.ruZheltonogovA. A.<p>Cardiovascular Surgeon, Department of Cardiac Surgery</p>fake@neicon.ruPavlovA. V.<p>Head of Department of Pathological Anatomy</p>fake@neicon.ruOmsk Regional Clinical HospitalOmsk State Medical Academy15052015381491522202201622022016Copyright © 2015, Tsekhanovich V.N., Morova N.A., Malkov A.V., Zheltonogov A.A., Pavlov A.V.2015<p>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.</p>ascending aorta aneurismmedia degenerationaortic rupturecardiac tamponadelife-savingаневризма восходящей аортыдегенерация медиразрыв стенки аортытампонада сердцаэкстренная помощь