Aortic Perforation and Ascending Dissection Due to Intra-Aortic Balloon Counterpulsation Implantation in Cardiac Surgery

Francisco J González-Ruiz; Gustavo Rojas-Velasco; Emmanuel A Lazcano-Diaz; Daniel Manzur-Sandoval; Luis A Baeza-Herrera; Luis A Cota-Apodaca; Eduardo R Bucio-Reta; Angel Ramos-Enriquez; Christian Fernando García-Flores; Guering Eid-Lidt

doi:10.1016/j.jaccas.2022.05.029

Aortic Perforation and Ascending Dissection Due to Intra-Aortic Balloon Counterpulsation Implantation in Cardiac Surgery

JACC Case Rep. 2022 Aug 3;4(15):919-923. doi: 10.1016/j.jaccas.2022.05.029.

Affiliations

¹ Department of Cardiovascular Critical Care, National Institute of Cardiology "Dr. Ignacio Chávez," México City, México.
² Department of Interventional Cardiology, National Institute of Cardiology "Dr. Ignacio Chávez", México City, México.

Abstract

The intra-aortic balloon pump continues to be a useful ventricular assist device in cardiac surgery. Complications are estimated to be 7% to 40%, significantly high to catastrophic. We describe an aortic injury associated with the use of the device and an interdisciplinary management for the diagnostic and therapeutic approach. (Level of Difficulty: Intermediate.).

Keywords: IABP, intra-aortic balloon pump; aortic dissection; aortic perforation; cardiac surgery; endovascular repair; intra-aortic balloon pump; vascular complications.

Publication types

Case Reports