Key result
A clotted intra-aortic balloon became entrapped in the descending aorta, requiring extensive exposure of the aortic bifurcation for its removal.
Case Report (n=1)
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Highlights a rare but dangerous complication of IABP where balloon rupture and clotting lead to entrapment in the descending aorta, necessitating extensive surgical exposure for removal.
Percutaneous insertion of a catheter for intra-aortic balloon pumping (IABP) was introduced in 1979 by Bregman and Casarella and has become a popular technique. Rupture of the balloon, allowing clot to form inside it, is rare. When the clot is large, it may cause entrapping of the balloon. This is a potentially dangerous complication of IABP. We are aware of only one case report of this complication, by Aru and co-workers. The entrapping of the balloon in their report occurred at the site of insertion in the femoral artery. We report here a case in which the entrapping occurred in the descending aorta, and its removal required extensive exposure of the aortic bifurcation.
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Shafei et al. (1991) conducted a case report in Entrapping of clotted intra-aortic balloon (n=1). Intra-aortic balloon pumping (IABP) was evaluated on Entrapping of the balloon in the descending aorta. A clotted intra-aortic balloon became entrapped in the descending aorta, requiring extensive exposure of the aortic bifurcation for its removal.
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