Perforation of the Descending Aorta by the Tip of an Intra-Aortic Balloon Pump Catheter
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概要
- 論文の詳細を見る
Perforation of the proximal descending aorta occurred in a patient on intra-aortic balloon pump (IABP) support after emergency coronary intervention for acute myocardial infarction. The IABP catheter was inserted under fluoroscopic guidance into the right femoral artery without difficulty, but after 8h on IABP support the patient went into shock with a left hemothorax. Emergency surgery was performed with cardiopulmonary bypass and a perforation of the proximal descending aorta with active bleeding was found and successfully repaired. A distorted descending aorta in which the IABP catheter was kinked, as in the aortic arch, was discovered during surgery and confirmed postoperatively with 3-dimensional computed tomography scans, particularly in the lateral view. Not only the antero-posterior but also the lateral fluoroscopic view is recommended to prevent aortic perforation by a kinked IABP catheter.
- 社団法人日本循環器学会の論文
- 2002-03-20
著者
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ITOH TSUYOSHI
Department of Surgery, Kyoto Prefectural Yosanoumi Hospital
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OKAZAKI Yukio
Department of Thoracic and Cardiovascular Surgery, Saga Medical School
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Okazaki Yukio
Department Of Thoracic And Cardiovascular Surgery Saga Medical School
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Itoh Tsuyoshi
Department Of Surgery Kyoto Prefectural Yosanoumi Hospital
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Shiraishi Ryo
Department Of Cardiovascular Surgery Shiroishi Kyouritsu Hospital
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Naito Kozo
Department of Thoracic and Cardiovascular Surgery, Saga Medical School
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Naito Kozo
Department Of Thoracic And Cardiovascular Surgery Saga Medical School
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Naito Kozo
Department Of Cardiovascular Surgery Saga Prefectural Hospital Koseikan
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Itoh Tsuyoshi
Department Of Molecular Design And Engineering Graduate School Of Engineering Nagoya University
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