Abstract
Intra-aortic balloon counterpulsation (IABC) provides effective mechanical circulatory assistance (MCA) in many patients with cardiac disease characterized by low cardiac output and/or myocardial ischemia. The intra-aortic balloon pump (IABP) has been used almost exclusively in the care of patients with cardiac disease as their primary medical disorder. This report presents use of the IABP in three cases where cardiac disease was present, but abdominal pathology necessitating urgent surgical intervention was the primary medical concern. Experience with these three cases suggest that operative and early postoperative use of IABC in patients with documented heart disease undergoing major non-cardiac surgical procedures may reduce the high incidence of cardiac complications.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Berger R. L., Saini V. K., Long W., Hechtman H., Hood W., Jr The use of diastolic augmentation with the intra-aortic balloon in human septic shock with associated coronary artery disease. Surgery. 1973 Oct;74(4):601–606. [PubMed] [Google Scholar]
- Bregman D., Kripke D. C., Goetz R. H. The effect of synchronous unidirectional intra-aortic balloon pumping on hemodynamics and coronary blood flow in cardiogenic shock. Trans Am Soc Artif Intern Organs. 1970;16:439–446. [PubMed] [Google Scholar]
- Dodsworth J. M., Fischer J. E. Surgical therapy of chronic peptic ulcer. Preoperative assessment, choice of operations, and consequences. Surg Clin North Am. 1974 Jun;54(3):529–547. doi: 10.1016/s0039-6109(16)40331-2. [DOI] [PubMed] [Google Scholar]
- Dunkman W. B., Leinbach R. C., Buckley M. J., Mundth E. D., Kantrowitz A. R., Austen W. G., Sanders C. A. Clinical and hemodynamic results of intraaortic balloon pumping and surgery for cardiogenic shock. Circulation. 1972 Sep;46(3):465–477. doi: 10.1161/01.cir.46.3.465. [DOI] [PubMed] [Google Scholar]
- Foster E. D., Subramanian V. A., Hechtman H. B., Berger R. L., Vito L. Response to intra-aortic balloon pumping. Am J Surg. 1975 Apr;129(4):464–471. doi: 10.1016/0002-9610(75)90194-4. [DOI] [PubMed] [Google Scholar]
- Gold H. K., Leinbach R. C., Sanders C. A., Buckley M. J., Mundth E. D., Austen W. G. Intraaortic balloon pumping for ventricular septal defect or mitral regurgitation complicating acute myocardial infarction. Circulation. 1973 Jun;47(6):1191–1196. doi: 10.1161/01.cir.47.6.1191. [DOI] [PubMed] [Google Scholar]
- MOULOPOULOS S. D., TOPAZ S., KOLFF W. J. Diastolic balloon pumping (with carbon dioxide) in the aorta--a mechanical assistance to the failing circulation. Am Heart J. 1962 May;63:669–675. doi: 10.1016/0002-8703(62)90012-1. [DOI] [PubMed] [Google Scholar]
- Mauney F. M., Jr, Ebert P. A., Sabiston D. C., Jr Postoperative myocardial infarction: a study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients. Ann Surg. 1970 Sep;172(3):497–503. doi: 10.1097/00000658-197009000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rodkey G. V., Welch C. E. Colonic diverticular disease with surgical treatment. A study of 338 cases. Surg Clin North Am. 1974 Jun;54(3):655–674. doi: 10.1016/s0039-6109(16)40340-3. [DOI] [PubMed] [Google Scholar]
- Sanders C. A., Buckley M. J., Leinbach R. C., Mundth E. D., Austen W. G. Mechanical circulatory assistance. Current status and experience with combining circulatory assistance, emergency coronary angiography, and acute myocardial revascularization. Circulation. 1972 Jun;45(6):1292–1313. doi: 10.1161/01.cir.45.6.1292. [DOI] [PubMed] [Google Scholar]
- Scheidt S., Wilner G., Mueller H., Summers D., Lesch M., Wolff G., Krakauer J., Rubenfire M., Fleming P., Noon G. Intra-aortic balloon counterpulsation in cardiogenic shock. Report of a co-operative clinical trial. N Engl J Med. 1973 May 10;288(19):979–984. doi: 10.1056/NEJM197305102881901. [DOI] [PubMed] [Google Scholar]
- TOPKINS M. J., ARTUSIO J. F., Jr MYOCARDIAL INFARCTION AND SURGERY: A FIVE YEAR STUDY. Anesth Analg. 1964 Nov-Dec;43:716–720. [PubMed] [Google Scholar]
- Tarhan S., Moffitt E. A., Taylor W. F., Giuliani E. R. Myocardial infarction after general anesthesia. JAMA. 1972 Jun 12;220(11):1451–1454. [PubMed] [Google Scholar]
- Weber K. T., Janicki J. S. Intraaortic balloon counterpulsation. A review of physiological principles, clinical results, and device safety. Ann Thorac Surg. 1974 Jun;17(6):602–636. doi: 10.1016/s0003-4975(10)65706-2. [DOI] [PubMed] [Google Scholar]