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Perioperative intra-aortic balloon counterpulsation in a patient with myocardium at risk undergoing urgent noncardiac surgery


1 Department of Anaesthesiology, University Hospital of Munich, Marchioninistrasse 15, D-81377 Munich, Germany
2 Department of General Surgery, University Hospital of Munich, Marchioninistrasse 15, D-81377 Munich, Germany

Correspondence Address:
Dr. Tim Nebelsiek
Department of Anaesthesiology, Klinikum Grosshadern, University Hospital of Munich (LMU), Marchioninistrasse 15, D-81377 Munich
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.154491

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Year : 2015  |  Volume : 18  |  Issue : 2  |  Page : 242-245

 

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We are presenting the case of a 76-year-old female scheduled for major abdominal surgery. Her past medical history was remarkable for a three-vessel coronary artery disease, with a severely impaired left ventricular function. She had already undergone complex coronary artery bypass surgery. Currently, she presented with the rare constellation of a hemodynamic relevant and interventionally intractable stenosis of the left subclavian artery proximal to a crucial coronary bypass from left internal mammary artery to the left anterior descending. To protect this patient from perioperative myocardial infarction, an intra-aortic balloon pump was successfully used.






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1 Department of Anaesthesiology, University Hospital of Munich, Marchioninistrasse 15, D-81377 Munich, Germany
2 Department of General Surgery, University Hospital of Munich, Marchioninistrasse 15, D-81377 Munich, Germany

Correspondence Address:
Dr. Tim Nebelsiek
Department of Anaesthesiology, Klinikum Grosshadern, University Hospital of Munich (LMU), Marchioninistrasse 15, D-81377 Munich
Germany
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.154491

Rights and Permissions

We are presenting the case of a 76-year-old female scheduled for major abdominal surgery. Her past medical history was remarkable for a three-vessel coronary artery disease, with a severely impaired left ventricular function. She had already undergone complex coronary artery bypass surgery. Currently, she presented with the rare constellation of a hemodynamic relevant and interventionally intractable stenosis of the left subclavian artery proximal to a crucial coronary bypass from left internal mammary artery to the left anterior descending. To protect this patient from perioperative myocardial infarction, an intra-aortic balloon pump was successfully used.






[FULL TEXT] [PDF]*


        
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