Endovascular repair of aortic perforation and type B aortic dissection after axillary intra-aortic balloon pump insertion.
Aortic perforation
Dissection
Endovascular
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
07
04
2021
accepted:
17
06
2021
entrez:
25
10
2021
pubmed:
26
10
2021
medline:
26
10
2021
Statut:
epublish
Résumé
We present the successful endovascular repair of an iatrogenic aortic dissection in a 57-year-old woman with decompensated heart failure. An intra-aortic balloon pump was inserted in the patient via a percutaneous axillary approach for circulatory support. Six days later, she developed symptoms of abdominal pain and lower extremity malperfusion. Computed tomography angiography demonstrated a type B aortic dissection with associated retroperitoneal hematoma secondary to aortic perforation. The patient underwent emergent endovascular aortic repair and intra-aortic balloon pump removal with return of lower extremity perfusion. She recovered well and underwent heart and kidney transplant less than 2 months postoperatively.
Identifiants
pubmed: 34693087
doi: 10.1016/j.jvscit.2021.06.008
pii: S2468-4287(21)00120-9
pmc: PMC8515065
doi:
Types de publication
Case Reports
Langues
eng
Pagination
617-620Informations de copyright
© 2021 The Authors.
Références
Ann Thorac Surg. 2009 Dec;88(6):e60-2
pubmed: 19932219
Ann Thorac Surg. 2021 Apr;111(4):1264-1270
pubmed: 32882197
Eur Heart J. 2014 Jul;35(26):1718
pubmed: 24497342
BMJ. 2004 Jan 24;328(7433):189
pubmed: 14729656
AJR Am J Roentgenol. 2005 Apr;184(4):1245-6
pubmed: 15788604
Ann Thorac Surg. 2002 Oct;74(4):1276-87
pubmed: 12400798