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Wide Complex Tachycardia as a Rare Pointer of Intra-aortic Balloon Pump Migration Into the Left Ventricle: A Case

Kyrillos Girgis1, Desmond Aroke1, Danielle Retcho1

  • 1Internal Medicine, Newark Beth Israel Medical Center, Newark, USA.

Cureus
|June 7, 2024
PubMed

Intra-aortic balloon pumps (IABPs) are used to assist with left ventricular (LV) unloading in patients with cardiogenic shock (CS). There are different mechanical devices that can be used in CS, of which the IABP represents the simplest, the easiest to insert and remove, and the most cost-effective. Compared to traditional femoral IABPs, axillary IABPs allow patients to remain ambulatory. This is especially beneficial in patients awaiting heart transplants. Our case presents a patient with CS, where axillary IABP was used to unload the LV. However, our patient developed ventricular arrhythmia secondary to IABP migration to the LV.

Keywords:
cardiogenic shockcomplicationsintra-aortic balloon pumpleft ventricular unloadingventricular tachycardia

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