title: Perioperative intra-aortic balloon counterpulsation in a patient with myocardium at risk undergoing urgent noncardiac surgery.
abstract: We 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.
authors: Department of Anaesthesiology, University Hospital of Munich, Marchioninistrasse 15, D-81377 Munich, Germany.
authors: Tim
authors: T
authors: Nebelsiek
authors: Florian
authors: F
authors: Weis
authors: Martin
authors: M
authors: Angele
authors: Florian
authors: F
authors: Brettner
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000601:surgery*; D007415:Intestinal Obstruction / Q000150:complications / Q000601:surgery; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D009203:Myocardial Infarction / Q000517:prevention & control*; D019990:Perioperative Care / Q000379:methods*; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging; D013349:Subclavian Steal Syndrome / Q000150:complications / Q000000981:diagnostic imaging*