Acute aortic thrombosis after intra-aortic balloon pumping.
Acute aortic occlusion is a rare but devastating complication of intra-aortic balloon pumping. Prompt diagnosis of aortic occlusion and immediate therapeutic decision making are keys for saving patients in such cases. We describe a 72-year-old man who underwent emergency surgical removal of a thrombus and aortoiliac bifurcated grafting for acute aortic occlusion after withdrawal of the intra-aortic balloon pumping catheter. The presence of a small unrecognized abdominal aortic aneurysm was considered to be the cause of thrombosis in this patient. Ultrasonographic screening for an abdominal aortic aneurysm is recommended for patients who require intra-aortic balloon pumping support.
Sakakibara
Y
Y
Department of Surgery, University of Tsukuba, Japan.
Sasaki
A
A
Nakata
H
H
Osaka
M
M
Hiramatsu
Y
Y
Mitsui
T
T
D000208:Acute Disease; D000368:Aged; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery; D004632:Emergency Medical Services; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D008297:Male; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery