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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2001 April;42(2):207-10

lingua: Inglese

Possible intra-aortic ballon pump “function-related” mechanism of embolic events in patient with protruding atheroma in the thoracic aorta

Mysore S. a, Kotsis V. N. b, Galanos O. b,c, Connery C. P. b, Drossos G. c, Hillel Z. a, Anagnostopoulos C. E. b,c

From the a Department of Anesthesia and b Section of Cardiothoracic Surgery, St. Luke’s-Roosevelt Hospital Center at Columbia University, New York, NY
c Department of Cardiothoracic Surgery, University of Ioannina, Greece


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A pos­sible new func­tion­al mech­a­nism of ath­e­rom­a­tous embo­lus is pre­sent­ed result­ing ­from ­reversed aor­tic ­blood ­flow dur­ing dia­stol­ic aug­men­ta­tion by bal­loon coun­ter­pul­sa­tion. This mech­a­nism is dif­fer­ent ­from mechan­i­cal dis­rup­tion dur­ing inser­tion. Despite ­this, ­intra-aor­tic bal­loon ­remains an impor­tant ­asset in the man­age­ment of hemo­dy­nam­i­cal­ly chal­lenged ­patients.

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