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[Aortic dissection associated with percutaneous intra-aortic balloon pumping].

K Nishizawa, M Ohtaki, K Iida

    Kyobu Geka. the Japanese Journal of Thoracic Surgery
    |July 1, 1989
    PubMed
    Summary

    Aortic dissection complicated percutaneous intraaortic balloon insertion after left ventricular rupture repair. Despite support, the patient experienced deterioration and died from complications, with postmortem confirming dissection.

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    Area of Science:

    • Cardiovascular Surgery
    • Vascular Complications
    • Medical Case Reports

    Background:

    • Left ventricular rupture repair is a critical procedure.
    • Intraaortic balloon pumps (IABP) are used for hemodynamic support.
    • Complications associated with IABP insertion require careful monitoring.

    Observation:

    • A case report details a patient undergoing IABP insertion post-left ventricular rupture repair.
    • Hemodynamic instability persisted despite IABP support.
    • Discrepancies in blood pressure monitoring suggested aortic dissection.

    Findings:

    • Percutaneous intraaortic balloon insertion was associated with aortic dissection.
    • The dissection extended from the iliac artery to below the left subclavian artery.

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  • The patient succumbed to renal failure, liver dysfunction, and disseminated intravascular coagulation (DIC).

    • Implications:

    • This case highlights a potential, serious complication of intraaortic balloon pump use.
    • Early recognition of aortic dissection is crucial in patients with hemodynamic compromise.
    • Aortic dissection may lead to multi-organ failure, including acute renal failure.