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Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind

Despite the benefits of the intra-aortic balloon pump (IABP) being a subject of debate, it remains a widely available and easy-to-use mechanical circulatory support device. Nonetheless, its use is not exempt from complications. Aortic dissection from IABP is an infrequent but deathly complication. W...

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Autores principales: Mijares-Rojas, Ivan A, Trujillo, Luis G, Lecompte-Osorio, Paola A, Martinez Trevino, Enrique F, Munagala, Mrudula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273174/
https://www.ncbi.nlm.nih.gov/pubmed/37332456
http://dx.doi.org/10.7759/cureus.39122
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author Mijares-Rojas, Ivan A
Trujillo, Luis G
Lecompte-Osorio, Paola A
Martinez Trevino, Enrique F
Munagala, Mrudula
author_facet Mijares-Rojas, Ivan A
Trujillo, Luis G
Lecompte-Osorio, Paola A
Martinez Trevino, Enrique F
Munagala, Mrudula
author_sort Mijares-Rojas, Ivan A
collection PubMed
description Despite the benefits of the intra-aortic balloon pump (IABP) being a subject of debate, it remains a widely available and easy-to-use mechanical circulatory support device. Nonetheless, its use is not exempt from complications. Aortic dissection from IABP is an infrequent but deathly complication. We describe a case in which early recognition of the condition led to control through an endovascular approach. A 57-year-old male was admitted for acute decompensated heart failure requiring intravenous inotropic agents. While undergoing assessment for a heart transplant, he developed cardiogenic shock requiring initiation of mechanical circulatory support with an IABP. A few hours after device implantation, the patient developed acute tearing chest pain and was found to have an acute dissection in the descending thoracic aorta. Prompt liaison with the endovascular team led to a thoracic endovascular aortic repair to control the extent of the lesion.
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spelling pubmed-102731742023-06-17 Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind Mijares-Rojas, Ivan A Trujillo, Luis G Lecompte-Osorio, Paola A Martinez Trevino, Enrique F Munagala, Mrudula Cureus Cardiac/Thoracic/Vascular Surgery Despite the benefits of the intra-aortic balloon pump (IABP) being a subject of debate, it remains a widely available and easy-to-use mechanical circulatory support device. Nonetheless, its use is not exempt from complications. Aortic dissection from IABP is an infrequent but deathly complication. We describe a case in which early recognition of the condition led to control through an endovascular approach. A 57-year-old male was admitted for acute decompensated heart failure requiring intravenous inotropic agents. While undergoing assessment for a heart transplant, he developed cardiogenic shock requiring initiation of mechanical circulatory support with an IABP. A few hours after device implantation, the patient developed acute tearing chest pain and was found to have an acute dissection in the descending thoracic aorta. Prompt liaison with the endovascular team led to a thoracic endovascular aortic repair to control the extent of the lesion. Cureus 2023-05-17 /pmc/articles/PMC10273174/ /pubmed/37332456 http://dx.doi.org/10.7759/cureus.39122 Text en Copyright © 2023, Mijares-Rojas et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Mijares-Rojas, Ivan A
Trujillo, Luis G
Lecompte-Osorio, Paola A
Martinez Trevino, Enrique F
Munagala, Mrudula
Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind
title Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind
title_full Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind
title_fullStr Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind
title_full_unstemmed Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind
title_short Aortic Dissection From an Intra-aortic Balloon Pump: A Dangerous Complication to Keep in Mind
title_sort aortic dissection from an intra-aortic balloon pump: a dangerous complication to keep in mind
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273174/
https://www.ncbi.nlm.nih.gov/pubmed/37332456
http://dx.doi.org/10.7759/cureus.39122
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