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Chirurgia 2008 October;21(5):267-9

language: English

Abdominal organ ischemia caused by intra-aortic balloon pumping. A case report

Aoyagi S. 1,2, Onitsuka S. 2, Oda T. 1,2, Tobinaga S. 2, Sawada M. 1, Watanabe S. 1

1 Intensive Care Unit Kurume University Hospital, Kurume, Japan
2 Department of Surgery Kurume University Hospital, Kurume, Japan


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A 64-year-old woman received intra-aortic balloon pumping (IABP) after cardiac valve surgery, and suffered cardiac tamponade with low output, postoperatively. After successfully restoring hemodynamic condition by pericardial drainage, the patient complained of abdominal pain without signs of peripheral embolism. Blood chemistry demonstrated elevation of serum creatine kinase and lactate dehyrodenase values. On a chest X-ray, the cephalic tip of the IABP catheter was 2 cm distal to the aortic knob. Abdominal ultrasound detected extension of the IABP balloon to the origin of the superior mesenteric artery. Removal of the IABP catheter immediately relieved abdominal pain. Subsequently, an ulcer in the colon was diagnosed by endoscopy. In this case, a combination of low cardiac output state and mechanical obstruction of the superior mesenteric artery due to an IABP balloon, too long and improperly positioned, may have caused ischemic damage of the colon.

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