title: Successful stent-grafting for perforation of the thoracic aorta by an intraaortic balloon pump.
abstract: Vascular complications associated with intraaortic balloon pump placement are quite common and predominantly related to femoral or iliac damage. Iatrogenic injury of the thoracic aorta is less usual and often fatal. Surgery for the lesions of the descending thoracic aorta still has a relatively high morbidity and mortality. Endovascular covered stentgraft prostheses have become a less invasive therapeutic approach to lesions of the thoracic aorta, especially in patients with high surgical risk. We describe a case of perforation of the thoracic aorta caused by an intraaortic balloon pump. The injury was confirmed by aortography and successfully repaired by implantation of an endovascular stent-graft via the left common iliac artery.
authors.affiliation: Cardiovascular Surgery Service, Jiménez Díaz Foundation, Madrid, Spain.
authors.forename: Victor
authors.initials: V
authors.lastname: Bautista-Hernández
authors.forename: Javier
authors.initials: J
authors.lastname: Moya
authors.forename: Jorge
authors.initials: J
authors.lastname: Martinell
authors.forename: Maria Luz
authors.initials: ML
authors.lastname: Polo
authors.forename: Julián
authors.initials: J
authors.lastname: Fraile
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015607:Stents