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J Thorac Cardiovasc Surg 2008;135:1167-1168
© 2008 The American Association for Thoracic Surgery

Brief Communication

Case report of visceral ischemia: The "tail" of an intra-aortic balloon pump

Justin Rivard, MD*, Ashley Vergis, MD, Diamond Kassum, MA, MB, BChir, FRCSC

Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada

Received for publication October 5, 2007; accepted for publication December 15, 2007.

* Address for reprints: Justin Rivard, MD, Department of Surgery, University of Manitoba, GH604—820 Sherbrook St, Winnipeg, Manitoba R3A 1R9, Canada. (Email: umrivar0@cc.umanitoba.ca).

The first 20% of the full text of this article appears below.

The intra-aortic balloon pump (IABP) has a multitude of uses, including increasing myocardial oxygen supply, assisting in hemodynamic stability, and more recently to wean from cardiopulmonary bypass surgery.1,2Go Its therapeutic effects arise from a combination of physiologic and metabolic impacts. The IABP increases coronary blood flow and decreases afterload, which reduces myocardial oxygen requirements; it also augments diastolic blood pressure, which improves tissue perfusion.3Go The overall complication rate for IABPs has been reported at 8%.4Go This case report describes an important complication and suggests ways that it can be recognized.

Clinical Summary

A 60-year-old man (5 feet 6 inches, 140 pounds, body mass index 22.6 kg/m2) with a history of hypertension, hypercholesterolemia, and previous myocardial . . . [Full Text of this Article]






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