Endovascular repair of aortic perforation and type B aortic dissection after axillary intra-aortic balloon pump insertion

Autor: Kelly Twohig, BS, Ashley J. Williamson, MD, Ross Milner, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 617-620 (2021)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2021.06.008
Popis: 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.
Databáze: Directory of Open Access Journals