Nebelsiek, TimWeis, FlorianAngele, MartinBrettner, Florian2015-06-232015-06-232015-04Nebelsiek 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.http://imsear.searo.who.int/handle/123456789/158184We 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.enHigh‑risk abdominal surgeryMyocardium at riskPerioperative use of intra‑aortic balloon pumpSubclavian artery stenosisAbdomen --surgeryAgedCoronary Artery BypassCoronary-Subclavian Steal Syndrome --surgeryFemaleHumansIntra-Aortic Balloon Pumping --methodsSubclavian Artery --surgerySubclavian Steal Syndrome --surgeryArticle