Perioperative intra‑aortic balloon counterpulsation in a patient with myocardium at risk undergoing urgent noncardiac surgery.
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Date
2015-04
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Abstract
We are presenting the case of a 76‑year‑old female scheduled for major abdominal surgery. Her past
medical history was remarkable for a three‑vessel coronary artery disease, with a severely impaired left
ventricular function. She had already undergone complex coronary artery bypass surgery. Currently, she
presented with the rare constellation of a hemodynamic relevant and interventionally intractable stenosis of
the left subclavian artery proximal to a crucial coronary bypass from left internal mammary artery to the left
anterior descending. To protect this patient from perioperative myocardial infarction, an intra‑aortic balloon
pump was successfully used.
Description
Keywords
High‑risk abdominal surgery, Myocardium at risk, Perioperative use of intra‑aortic balloon pump, Subclavian artery stenosis
Citation
Nebelsiek Tim, Weis Florian, Angele Martin, Brettner Florian. Perioperative intra‑aortic balloon counterpulsation in a patient with myocardium at risk undergoing urgent noncardiac surgery. Annals of Cardiac Anaesthesia. 2015 Apr; 18(2): 242-245.