Key result
Elective IABP supports uneventful liver resection and day 5 discharge in a severe CAD patient.
Why the study?
Does elective intra-aortic balloon pump insertion improve outcomes in a patient with severe coronary artery disease undergoing high-risk liver resection?
Case Report (n=1)
Does elective intra-aortic balloon pump insertion improve outcomes in a patient with severe coronary artery disease undergoing high-risk liver resection?
Elective IABP insertion may be safely used to reduce left ventricular workload during high-risk non-cardiac surgery such as liver resection in patients with severe coronary artery disease.
Elective IABP may be feasible in severe CAD during high-risk liver resection; leaves open whether it improves outcomes.
SUMMARY: We present the case of a 65-year-old male with severe coronary artery disease and a single colorectal liver metastasis. An elective intra-aortic balloon pump (IABP) was inserted following induction of anaesthesia to reduce left ventricular workload during his liver resection. After an uneventful recovery he was discharged on day 5. We review the literature on the elective use of these devices in cardiac surgery in which it is becoming routine practice in high risk patients. However in non-cardiac surgery there have been only 15 published cases all in very high risk patients, with favourable outcomes. To our knowledge this is the first published case of the use of elective IABP during liver surgery.
No takes yet. Share an insight, caveat, or question.
oliver et al. (2008) conducted a case report in Severe coronary artery disease and a single colorectal liver metastasis (n=1). Elective intra-aortic balloon pump (IABP) was evaluated on Recovery and discharge. Elective intra-aortic balloon pump insertion during liver resection in a high-risk patient with severe coronary artery disease resulted in an uneventful recovery and discharge on day 5.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: