Intra-aortic balloon counterpulsation for complex aortic stenosis in hybrid strategy.
Intra-aortic balloon pumping (IABP) has been considered to be relatively contraindicated in patients with complex aortic stenosis (AS). In this report, we describe the successful implementation of IABP counterpulsation in a patient with severe coronary artery disease and left ventricular dysfunction complicating significant aortic AS. It is shown that adjuvant IABP is a safe and effective method to bridge the unstable hemodynamic condition in the initial percutaneous phase of a hybrid approach. One year after second stage valve surgery, the clinical course remains uneventful.
Gu
Youlan L
YL
Jessurun
Gillian A J
GA
van den Merkhof
Lambert F M
LF
Zijlstra
Felix
F
D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008297:Male; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000601:surgery