Possible intra-aortic balloon pump "function-related" mechanism of embolic events in patient with protruding atheroma in the thoracic aorta.
A possible new functional mechanism of atheromatous embolus is presented resulting from reversed aortic blood flow during diastolic augmentation by balloon counterpulsation. This mechanism is different from mechanical disruption during insertion. Despite this, intra-aortic balloon remains an important asset in the management of hemodynamically challenged patients.
Mysore
S
S
Department of Anesthesia, St. Luke s-Roosevelt Hospital Center at Columbia University, New York, USA.
Kotsis
V N
VN
Galanos
O
O
Connery
C P
CP
Drossos
G
G
Hillel
Z
Z
Anagnostopoulos
C E
CE
D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006328:Cardiac Catheterization; D001026:Coronary Artery Bypass; D017700:Embolism, Cholesterol / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy; D014463:Ultrasonography