Key result
Intra-aortic balloon pumping in a patient with acute myocardial infarction was complicated by a large thoracic aortic thrombus presenting with abdominal pain and renal deterioration.
Case Report (n=1)
Intra-aortic balloon pumping can be complicated by acute thoracic aortic thrombosis, which may present atypically with abdominal pain and renal deterioration rather than limb ischemia.
Clinicians should consider aortic thrombosis in IABP patients with abdominal pain or renal decline; case reports leave open true incidence and prevention.
We present two transesophageal echocardiographic images of a patient with acute myocardial infarction, demonstrating a large thrombus attached to the thoracic aortic wall, considered to be a complication of intra-aortic balloon pumping. The patient had received the device because of hemodynamic instability due to an infarct-related ventricular septal defect. Clinical manifestations which led to the diagnosis of thromboembolism were abdominal pain and deterioration of renal function, without signs of limb ischemia.
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Aggeli et al. (2005) conducted a case report in Acute myocardial infarction with infarct-related ventricular septal defect (n=1). Intra-aortic balloon pumping was evaluated on Acute thoracic aortic thrombosis. Intra-aortic balloon pumping in a patient with acute myocardial infarction was complicated by a large thoracic aortic thrombus presenting with abdominal pain and renal deterioration.
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