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Updated: May 8, 2026

The Intra-Aortic Balloon Pump
Published on: February 5, 2021
Cardiogenic shock due to coronary artery disease associated with interrupted aortic arch
Luís Alberto Oliveira Dallan1, Adriano Milanez, Luiz Augusto F Lisboa
1Surgical Coronary Diseases Unit at Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (INCOR-HC-FMUSP), São Paulo, SP, Brazil. dcidallan@incor.usp.br
Abstract:
Acute pulmonary edema is a serious event. Its occurrence in association with interrupted aortic arch and coronary heart disease is rare. Recently, an old patient developed cardiogenic shock and acute pulmonary edema due to acute coronary insufficiency, associated with interrupted aortic arch. The coronary angiography revealed occlusion of the right coronary artery and 95% obstruction in the left main coronary artery, associated with interruption of the descending aorta. Coronary artery bypass graft was performed, without extracorporeal circulation, to the anterior descending coronary artery. We discuss the initial management, given the seriousness of the case.
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