The patient spent 74 days in the hospital.ĭuring the recovery period and treatment of the endocarditis, the patient had venous thrombosis of the upper limbs and left jugular vein, requiring continuous use of anticoagulant therapy. The pacemaker was placed in the left mid chest wall so the patient would not suffer pressure generated by the chute-pack harness. A dual-chamber permanent pacemaker was implanted because of frequent manifestations of symptomatic bradycardia with periods of advanced atrioventricular block. The surgery was complicated by subsequent infective endocarditis and ascending aortic abscess, and he underwent further surgery on an emergency basis. He underwent valve replacement and implantation of an aortic tube graft. The patient, a 39-year-old professional skydiver who had logged 2500 jumps, presented with severe aortic regurgitation and left ventricular dilation as a result of a bicuspid aortic valve. This case illustrates how CR, tailored to a patient's specific needs, can aid in the return to rigorous activity. He then performed a true jump at Dallas Skydive Center and subsequently traveled to Arizona for a skydiving competition, where he performed 35 true jumps with no adverse events or symptoms. Upon completion of the daily exercise sessions, the patient performed a simulated free-fall drop test. Daily exercise training was customized to match the physical demands of skydiving, including two sessions at iFLY Dallas. His pacemaker was interrogated to ascertain any arrhythmias or lead displacement over the course of the CR program. He performed specific skydiving cardiovascular and muscular strength tests at the beginning and the end of the CR program. He then enrolled in the Baylor Heart and Vascular Hospital cardiac rehabilitation (CR) program as part of its specificity of testing and exercise training facility. A professional skydiver underwent aortic valve and ascending aorta replacement complicated by infective endocarditis with root abscess and pacemaker implantation.
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