Abstract
Acute aortic occlusion is a rare but devastating complication of intra-aortic balloon pumping. Prompt diagnosis of aortic occlusion and immediate therapeutic decision making are keys for saving patients in such cases. We describe a 72-year-old man who underwent emergency surgical removal of a thrombus and aortoiliac bifurcated grafting for acute aortic occlusion after withdrawal of the intra-aortic balloon pumping catheter. The presence of a small unrecognized abdominal aortic aneurysm was considered to be the cause of thrombosis in this patient Ultrasonographic screening for an abdominal aortic aneurysm is recommended for patients who require intra-aortic balloon pumping support.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Patel H, Krishnamoorthy M, Dorazio RA, Dalu JA, Humpherey R, Tyrell J. Thrombosis of abdominal aortic aneurysms. Am Surg 1994; 60: 801–3.
Janetta PJ, Roberts B. Sudden complete thrombosis of an aneurysm of the abdominal aorta. N Engl J Med 1961; 264: 434–5.
Cervantes J, Martinez R, Perez-Garcia D. Acute thrombosis of abdominal aortic aneurysm. An uncommon entity. J Cardiovasc Surg 1985; 26: 598–601.
Leude E, Vaillant A, Nazet J, Collart F, Rosset E, Malmejac C. Thrombosis of the abdominal aorta. Tex Heart Inst J 1995; 22: 202–3.
Kvilekval KH, Mason RA, Newton GB, Anagnostopoulos CE, Vlay SC, Giron F. Complications of percutaneous intra-aortic balloon pump use in patients with peripheral vascular disease. Arch Surg 1991; 126: 621–3.
Beyersdorf F, Mitrev Z, Ihnken K, Schmiedt W, Sarai K, Eckel L, et al. Controlled limb reperfusion in patients having cardiac operations. J Thorac Cardiovasc Surg 1996; 111: 873–81.
Vogt PR, von Segesser LK, Pagotto E, Lijovic T, Turina MI. Simplified controlled limb reperfusion and simultaneous revascularization for acute aortic occlusion. J Vasc Surg 1996; 23: 730–3.
Makhoul RG, Cole CW, McCann RL. Vascular complications of the intra-aortic balloon pump: an analysis of 436 patients. Am Surg 1993; 59: 564–8.
Miller JS, Dodson TF, Salam AA, Smith RB. Vascular complications following intra-aortic balloon pump insertion. Am Surg 1992; 58: 232–8.
Sapoval MR, Beyssen B, Pagny JY, Mousseaux E, Raynaud A, Gaux JC. Percutaneous treatment of acute iliac artery injury after intra-aortic balloon counterpulsation. J Vasc Surg 1996; 24: 279–83.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sakakibara, Y., Sasaki, A., Nakata, H. et al. Acute aortic thrombosis after intra-aortic balloon pumping. Jpn J Thorac Caridovasc Surg 48, 123–125 (2000). https://doi.org/10.1007/BF03218105
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF03218105