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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences
2018
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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. |
format | Online Article Text |
id | pubmed-6191573 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences |
record_format | MEDLINE/PubMed |
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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