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Combined association of liver and renal injury by intra-aortic balloon pump malposition

BACKGROUND: We report an unusual visceral complication of intra-aortic balloon pump (IABP) due to the malpositioning of the catheter in the aorta. CASE REPORT: A 55-year-old man with severe left ventricular dysfunction underwent coronary artery bypass grafting (CABG) with the preoperative use of an...

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Autores principales: Sabzi, Feridoun, Heidari, Aghigheh, Faraji, Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191573/
https://www.ncbi.nlm.nih.gov/pubmed/30349578
http://dx.doi.org/10.22122/arya.v14i3.1686
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author Sabzi, Feridoun
Heidari, Aghigheh
Faraji, Reza
author_facet Sabzi, Feridoun
Heidari, Aghigheh
Faraji, Reza
author_sort Sabzi, Feridoun
collection PubMed
description BACKGROUND: We report an unusual visceral complication of intra-aortic balloon pump (IABP) due to the malpositioning of the catheter in the aorta. CASE REPORT: A 55-year-old man with severe left ventricular dysfunction underwent coronary artery bypass grafting (CABG) with the preoperative use of an intra-aortic balloon pump. Postoperative course was complicated by renal and hepatic failure. The early occurrence of complications during 36 hours after operation exhibited a serious vascular complication. The combination of acute renal and hepatic failure led to the suspension to occlusive effect of intra-aortic balloon pump catheter on ostium of the aforementioned organs. The intra-aortic balloon pump was removed, and urine output immediately restored. Thereafter, daily slop dawn serum levels of aminotransferases were started, and became normal at the 10th day of operation. CONCLUSION: This is an exceptional case that shows how intra-aortic balloon pump may be contributed to mechanical aortic side branches obstruction. A high index of suspension is mandatory in the diagnosis of such bizarre complications.
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spelling pubmed-61915732018-10-22 Combined association of liver and renal injury by intra-aortic balloon pump malposition Sabzi, Feridoun Heidari, Aghigheh Faraji, Reza ARYA Atheroscler Case Report BACKGROUND: We report an unusual visceral complication of intra-aortic balloon pump (IABP) due to the malpositioning of the catheter in the aorta. CASE REPORT: A 55-year-old man with severe left ventricular dysfunction underwent coronary artery bypass grafting (CABG) with the preoperative use of an intra-aortic balloon pump. Postoperative course was complicated by renal and hepatic failure. The early occurrence of complications during 36 hours after operation exhibited a serious vascular complication. The combination of acute renal and hepatic failure led to the suspension to occlusive effect of intra-aortic balloon pump catheter on ostium of the aforementioned organs. The intra-aortic balloon pump was removed, and urine output immediately restored. Thereafter, daily slop dawn serum levels of aminotransferases were started, and became normal at the 10th day of operation. CONCLUSION: This is an exceptional case that shows how intra-aortic balloon pump may be contributed to mechanical aortic side branches obstruction. A high index of suspension is mandatory in the diagnosis of such bizarre complications. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2018-05 /pmc/articles/PMC6191573/ /pubmed/30349578 http://dx.doi.org/10.22122/arya.v14i3.1686 Text en © 2018 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Case Report
Sabzi, Feridoun
Heidari, Aghigheh
Faraji, Reza
Combined association of liver and renal injury by intra-aortic balloon pump malposition
title Combined association of liver and renal injury by intra-aortic balloon pump malposition
title_full Combined association of liver and renal injury by intra-aortic balloon pump malposition
title_fullStr Combined association of liver and renal injury by intra-aortic balloon pump malposition
title_full_unstemmed Combined association of liver and renal injury by intra-aortic balloon pump malposition
title_short Combined association of liver and renal injury by intra-aortic balloon pump malposition
title_sort combined association of liver and renal injury by intra-aortic balloon pump malposition
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191573/
https://www.ncbi.nlm.nih.gov/pubmed/30349578
http://dx.doi.org/10.22122/arya.v14i3.1686
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