{"id":20764,"date":"2022-04-11T14:28:56","date_gmt":"2022-04-11T18:28:56","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=20764"},"modified":"2023-05-31T17:07:32","modified_gmt":"2023-05-31T21:07:32","slug":"a-hole-in-my-heart","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/fr\/alert-diver\/article\/a-hole-in-my-heart\/","title":{"rendered":"Un trou dans mon c\u0153ur"},"content":{"rendered":"

J'AI \u00c9T\u00c9 PLONGEUR CERTIFI\u00c9<\/span><\/strong> depuis 1986 et j'ai effectu\u00e9 des centaines de plong\u00e9es r\u00e9cr\u00e9atives et techniques. Depuis 2014, je pratique principalement la plong\u00e9e technique au recycleur avec un groupe restreint de plongeurs recycleurs exp\u00e9riment\u00e9s du nord de la Californie.<\/p>\n\n\n\n

During the summer of 2019, our group visited Lake Huron\u2019s Thunder Bay National Marine Sanctuary in Michigan to dive the historic shipwrecks from the late 1800s that rest nearly intact in 160 to 200 feet of icy cold and clear fresh water. Emmy-Award-winning underwater cinematographer and technical diving instructor Becky Kagan Schott and her husband, David Schott, who is also an accomplished cameraman and technical diver, organized our trip. We spent the months before the trip doing workup dives in Lake Tahoe, where water conditions are similar to Lake Huron\u2019s.<\/p>\n\n\n\n

Our Lake Huron dive plans included two dives per day, all of which entailed mandatory decompression stops because of the depth and time we spent exploring each shipwreck. As I descended the mooring line, my eyes strained for the first glimpse of what was on the bottom. I passed through the thermocline and into the clear 39\u00b0F water until I saw a narrow, dark object slowly come into view at 80 feet. It was the top of a still-upright mast. Goosebumps rose on my skin as the entirety of the wooden schooner revealed itself in nearly 100 feet of visibility. With such intact ships and artifacts, these wrecks were as close as I could get to a trip through time.<\/p>\n\n\n\n

\"Des
Des plongeurs explorent la proue du Florida sur le lac Huron, dans le Michigan. Photo de Keith C. Flood<\/figcaption><\/figure>\n\n\n\n

Au milieu du voyage, j'ai commenc\u00e9 \u00e0 ressentir des d\u00e9mangeaisons au niveau de la poitrine sous ma combinaison \u00e9tanche pendant un intervalle de surface. J'ai imm\u00e9diatement eu un mauvais pressentiment, car c'\u00e9tait la troisi\u00e8me fois que je ressentais cette sensation en cinq ans. J'ai enlev\u00e9 ma combinaison et j'ai vu les signes r\u00e9v\u00e9lateurs des plis cutan\u00e9s : Des bosses rouges, tachet\u00e9es et sur\u00e9lev\u00e9es indiquant un accident de d\u00e9compression cutan\u00e9 (ADC) couvraient une partie du haut de ma poitrine gauche. J'en ai imm\u00e9diatement parl\u00e9 \u00e0 Becky et j'ai commenc\u00e9 \u00e0 respirer de l'oxyg\u00e8ne \u00e0 100 % via mon recycleur tout en restant immobile et en me reposant sur le bateau. Les d\u00e9mangeaisons et les \u00e9ruptions cutan\u00e9es ont disparu en 30 minutes.<\/p>\n\n\n\n

En discutant de ma situation avec Becky et Dave ce soir-l\u00e0, Dave m'a demand\u00e9 si j'avais \u00e9t\u00e9 test\u00e9 pour un foramen ovale (PFO). Son p\u00e8re, cardiologue, avait mentionn\u00e9 \u00e0 Dave que des DCS r\u00e9p\u00e9t\u00e9s et non m\u00e9rit\u00e9s sont une indication pour v\u00e9rifier la pr\u00e9sence d'un PFO. Un petit trou entre les deux cavit\u00e9s sup\u00e9rieures du c\u0153ur permet au sang de passer de l'oreillette droite \u00e0 l'oreillette gauche lorsque vous \u00eates dans l'ut\u00e9rus, mais une fois que vous \u00eates n\u00e9 et que vous respirez par vous-m\u00eame, le trou se referme naturellement pour la plupart des gens. Cependant, chez environ 25 % de la population, le trou reste au moins partiellement ouvert, mais ne provoque g\u00e9n\u00e9ralement aucun effet n\u00e9faste. Bien que le risque global de SAD soit faible, il est plus \u00e9lev\u00e9 chez les plongeurs pr\u00e9sentant un FOP.<\/p>\n\n\n\n

I contacted DAN and sent them my computer logs, but there was nothing remarkable about my dive profiles. I have always been diligent about my hydration, and on this dive I had extended my final decompression stop beyond my already conservative decompression schedule. Thanks to DAN, I started to educate myself about PFOs, and my circumstances aligned with having one. DAN\u2019s medical staff recommended that I have a bubble contrast test.<\/p>\n\n\n\n

Mon m\u00e9decin traitant, qui n'avait pas d'exp\u00e9rience en mati\u00e8re de FOP et de plong\u00e9e, m'a orient\u00e9 vers un cardiologue. En l'espace de quelques semaines, j'ai pass\u00e9 mon examen de contraste \u00e0 bulles, qui consistait \u00e0 injecter une seringue de solution saline et des bulles d'air dans une veine du bras afin de les faire passer dans mon syst\u00e8me circulatoire, tout en effectuant une \u00e9chographie de mon c\u0153ur. Je n'ai pas eu besoin d'attendre les r\u00e9sultats, car j'ai pu voir clairement quand les bulles passaient entre mes oreillettes \u00e0 travers le FOP. J'\u00e9tais soulag\u00e9 d'avoir une r\u00e9ponse potentielle au myst\u00e8re entourant mes probl\u00e8mes de courbure de la peau, alors que mes coll\u00e8gues plongeurs effectuant les m\u00eames profils de plong\u00e9e n'avaient pas de tels effets n\u00e9fastes.<\/p>\n\n\n

\n
\"la
L'auteur montre l'\u00e9ruption cutan\u00e9e avec d\u00e9mangeaisons et taches qui indique que la peau se plie. 
Photo : Keith C. Flood<\/figcaption><\/figure>\n<\/div>\n\n\n

Apr\u00e8s le test, j'ai \u00e9t\u00e9 orient\u00e9 vers un chirurgien cardiaque exp\u00e9riment\u00e9, sp\u00e9cialis\u00e9 dans les fermetures de PFO. DAN m'a accompagn\u00e9 \u00e0 chaque \u00e9tape du processus pour s'assurer que j'\u00e9tais sur la bonne voie pour prendre une d\u00e9cision \u00e9clair\u00e9e quant \u00e0 la fermeture de mon PFO. J'\u00e9tais inquiet \u00e0 l'id\u00e9e d'abandonner la plong\u00e9e, de ne plonger que de mani\u00e8re r\u00e9cr\u00e9ative \u00e0 faible profondeur, ou de subir une proc\u00e9dure m\u00e9dicale facultative pour fermer le trou dans mon c\u0153ur.<\/p>\n\n\n\n

Apr\u00e8s avoir parl\u00e9 \u00e0 plusieurs autres plongeurs qui ont repris la plong\u00e9e apr\u00e8s avoir subi des proc\u00e9dures de fermeture du FOP, consult\u00e9 le DAN et pes\u00e9 le pour et le contre avec mon \u00e9quipe m\u00e9dicale, j'ai opt\u00e9 pour la fermeture du FOP.<\/p>\n\n\n\n

L'intervention est r\u00e9alis\u00e9e sous anesth\u00e9sie locale pendant que votre c\u0153ur vous maintient en vie. Le chirurgien ins\u00e8re un dispositif de fermeture en nickel et en titane, semblable \u00e0 un parapluie, dans le c\u0153ur par l'interm\u00e9diaire d'un cath\u00e9ter, \u00e0 partir d'une grosse veine de la jambe. Il s'agit parfois d'une intervention ambulatoire, mais la mienne a n\u00e9cessit\u00e9 une nuit d'hospitalisation. Six mois apr\u00e8s la fermeture, un test de contraste \u00e0 bulles a permis de v\u00e9rifier que le FOP \u00e9tait d\u00e9finitivement ferm\u00e9, et j'ai \u00e9t\u00e9 autoris\u00e9 \u00e0 reprendre la plong\u00e9e.<\/p>\n\n\n\n

I worked back up to how I was diving before my PFO closure, but I still pay close attention to all the best practices for technical diving. I always stay hydrated, dive conservative profiles, add some time to my final decompression stop, and never hesitate to pass on a dive if things just don\u2019t feel right.<\/p>","protected":false},"excerpt":{"rendered":"

I HAVE BEEN A CERTIFIED DIVER since 1986 and have logged hundreds of recreational and technical dives. Since 2014 I have primarily been doing technical rebreather diving with a close group of experienced rebreather divers from Northern California. During the summer of 2019, our group visited Lake Huron\u2019s Thunder Bay National Marine Sanctuary in Michigan [\u2026]<\/p>\n","protected":false},"featured_media":20766,"template":"","dan_alert_diver_categories":[76],"dan_alert_diver_issues":[478],"class_list":["post-20764","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-dan-was-there-for-me","dan_alert_diver_issues-q1-2022"],"acf":[],"yoast_head":"\nA Hole in My Heart - DAN World<\/title>\n<meta name=\"description\" content=\"I\u00a0HAVE BEEN A CERTIFIED DIVER\u00a0since 1986 and have logged hundreds of recreational and technical dives. 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Since 2014 I have primarily been doing technical rebreather diving with a close group of experienced rebreather divers from Northern California.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/fr\/alert-diver\/article\/a-hole-in-my-heart\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-31T21:07:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2022\/04\/hole-q1_1_danwasthere-copy-e1647629455653.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"588\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"I\u00a0HAVE BEEN A CERTIFIED DIVER\u00a0since 1986 and have logged hundreds of recreational and technical dives.\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/a-hole-in-my-heart\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/a-hole-in-my-heart\\\/\",\"name\":\"A Hole in My Heart - DAN World\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/world.dan.org\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/a-hole-in-my-heart\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/a-hole-in-my-heart\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/world.dan.org\\\/wp-content\\\/uploads\\\/2022\\\/04\\\/hole-q1_1_danwasthere-copy-e1647629455653.jpeg\",\"datePublished\":\"2022-04-11T18:28:56+00:00\",\"dateModified\":\"2023-05-31T21:07:32+00:00\",\"description\":\"I\u00a0HAVE BEEN A CERTIFIED DIVER\u00a0since 1986 and have logged hundreds of recreational and technical dives. 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