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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Related Experiment Video

Updated: May 23, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

The Hidden Vulnerability: How Underlying SMA Stenosis Turns Routine Intra-Aortic Balloon Pump Support Into Fatal

Nitya Panyala1, Bhavneet Singh1, Tanya Britto Muthunayagam1

  • 1Internal Medicine, Ball Memorial Hospital, Indiana University School of Medicine, Muncie, Indiana, USA, indiana.edu.

Case Reports in Critical Care
|May 22, 2026
PubMed
Summary

Intra-aortic balloon pump (IABP) use can cause mesenteric ischemia, a rare but fatal complication. This risk is heightened in patients with pre-existing superior mesenteric artery stenosis, necessitating vigilance for abdominal symptoms during IABP therapy.

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The Intra-Aortic Balloon Pump
06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

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Last Updated: May 23, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

The Intra-Aortic Balloon Pump
06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Gastroenterology

Background:

  • Intra-aortic balloon pump (IABP) is a critical mechanical circulatory support for cardiogenic shock.
  • While generally safe, IABP therapy carries risks, including rare but severe mesenteric ischemia.
  • Mesenteric ischemia, particularly in patients with underlying visceral vascular disease, poses a significant threat.

Purpose of the Study:

  • To report a case of fatal mesenteric ischemia following IABP insertion.
  • To highlight the potential interaction between IABP and pre-existing superior mesenteric artery (SMA) stenosis.
  • To emphasize the importance of clinical suspicion and early diagnosis of mesenteric ischemia in IABP patients.

Main Methods:

  • Case report of a 58-year-old female smoker with ST-elevation myocardial infarction and cardiogenic shock.
  • IABP insertion for hemodynamic support.
  • Clinical monitoring for abdominal complications, diagnostic imaging (CT), and surgical intervention.

Main Results:

  • Patient developed progressive abdominal pain, fever, tachycardia, and bloody bowel movements post-IABP.
  • CT revealed extensive small bowel ischemia and severe SMA stenosis.
  • Despite surgical intervention, the patient experienced multiorgan failure and mortality.

Conclusions:

  • Mesenteric ischemia can occur with IABP even with appropriate placement, especially in patients with visceral atherosclerosis.
  • Pre-existing SMA stenosis can create a vulnerable state where IABP counterpulsation precipitates ischemia.
  • High clinical suspicion and prompt diagnosis are crucial for improving outcomes in IABP-associated mesenteric ischemia.