title: Undiagnosed aortic dissection in patient with intra-aortic balloon pump.
abstract: 60 years old lady presented with chest pain and was admitted in local hospital. Electrocardiogram was suggestive of anterior myocardial ischemia. Patient underwent coronary angiography which revealed severe triple vessles coronary artery disease. As patient was hemodynamically unstable and in cardiogenic shock, intraaortic balloon pump was inserted .IABP augmented diastolic blood pressure was less than unassisted systolic blood pressure despite setting maximum augmentation on IABP machine.
authors.affiliation: Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Monish S
authors.initials: MS
authors.lastname: Raut
authors.affiliation: Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Maheshwari
authors.affiliation: Department of Cardiology, Dharam Vira Heart Center, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Sharma
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis*; D001014:Aortic Aneurysm / Q000175:diagnosis*; D017023:Coronary Angiography; D003951:Diagnostic Errors; D004452:Echocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008875:Middle Aged