Abstract
We report a case of intraaortic balloon entrapment in a 70-year-old man who underwent emergency triple coronary bypass. Intraaortic balloon rupture caused the formation of a clot inside the balloon that eventually was responsible for the balloon's entrapment at the aortic bifurcation. The patient had severe atherosclerosis of the aorta and iliac arteries. Balloon removal required aorto-iliac exposure and aorto-bifemoral bypass. After 16 months, he is symptom free and at home.
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- Aru G. M., King J. T., Jr, Hovaguimian H., Floten H. S., Ahmad A., Starr A. The entrapped balloon: report of a possibly serious complication. J Thorac Cardiovasc Surg. 1986 Jan;91(1):146–149. [PubMed] [Google Scholar]
- Brodell G. K., Tuzcu E. M., Weiss S. J., Simpfendorfer C. Intra-aortic balloon-pump rupture and entrapment. Cleve Clin J Med. 1989 Oct;56(7):740–742. doi: 10.3949/ccjm.56.7.740. [DOI] [PubMed] [Google Scholar]
- Gottlieb S. O., Brinker J. A., Borkon A. M., Kallman C. H., Potter A., Gott V. L., Baughman K. L. Identification of patients at high risk for complications of intraaortic balloon counterpulsation: a multivariate risk factor analysis. Am J Cardiol. 1984 Apr 1;53(8):1135–1139. doi: 10.1016/0002-9149(84)90650-7. [DOI] [PubMed] [Google Scholar]
- Horowitz M. D., Otero M., de Marchena E. J., Neibart R. M., Novak S., Bolooki H. Intraaortic balloon entrapment. Ann Thorac Surg. 1993 Aug;56(2):368–370. doi: 10.1016/0003-4975(93)91180-u. [DOI] [PubMed] [Google Scholar]
- Kantrowitz A., Tjonneland S., Freed P. S., Phillips S. J., Butner A. N., Sherman J. L., Jr Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA. 1968 Jan 8;203(2):113–118. [PubMed] [Google Scholar]
- Kantrowitz A., Wasfie T., Freed P. S., Rubenfire M., Wajszczuk W., Schork M. A. Intraaortic balloon pumping 1967 through 1982: analysis of complications in 733 patients. Am J Cardiol. 1986 Apr 15;57(11):976–983. doi: 10.1016/0002-9149(86)90742-3. [DOI] [PubMed] [Google Scholar]
- Kolvekar S., Griffin S., Fisher A., O'Riordan J. Retained intraaortic balloon. Ann Thorac Surg. 1993 Jun;55(6):1598–1599. doi: 10.1016/0003-4975(93)91131-6. [DOI] [PubMed] [Google Scholar]
- Lambert C. J. Intraaortic balloon entrapment. Ann Thorac Surg. 1987 Oct;44(4):446–446. doi: 10.1016/s0003-4975(10)63817-9. [DOI] [PubMed] [Google Scholar]
- Macoviak J., Stephenson L. W., Edmunds L. H., Jr, Harken A., MacVaugh H., 3rd The intraaortic baloon pump: an analysis of five years' experience. Ann Thorac Surg. 1980 May;29(5):451–458. doi: 10.1016/s0003-4975(10)61678-5. [DOI] [PubMed] [Google Scholar]
- McGeehin W., Sheikh F., Donahoo J. S., Lechman M. J., MacVaugh H., 3rd Transthoracic intraaortic balloon pump support: experience in 39 patients. Ann Thorac Surg. 1987 Jul;44(1):26–30. doi: 10.1016/s0003-4975(10)62350-8. [DOI] [PubMed] [Google Scholar]
- Milgalter E., Mosseri M., Uretzky G., Romanoff H. Intraaortic balloon entrapment: a complication of balloon perforation. Ann Thorac Surg. 1986 Dec;42(6):697–698. doi: 10.1016/s0003-4975(10)64612-7. [DOI] [PubMed] [Google Scholar]
- Millham F. H., Hudson H. M., Woodson J., Menzoian J. O. Intraaortic balloon pump entrapment. Ann Vasc Surg. 1991 Jul;5(4):381–384. doi: 10.1007/BF02015302. [DOI] [PubMed] [Google Scholar]
- Nishizawa J., Konishi Y., Matsumoto M., Yuasa S. Intraaortic balloon entrapment--a case report and a review of the literature. Jpn Circ J. 1991 Jun;55(6):563–566. doi: 10.1253/jcj.55.563. [DOI] [PubMed] [Google Scholar]
- Olearchyk A. S. Retained intraaortic balloon assist device. J Thorac Cardiovasc Surg. 1992 Jun;103(6):1231–1232. [PubMed] [Google Scholar]
- Scott I. R., Goiti J. J. Late paraplegia as a consequence of intraaortic balloon pump support. Ann Thorac Surg. 1985 Sep;40(3):300–301. doi: 10.1016/s0003-4975(10)60047-1. [DOI] [PubMed] [Google Scholar]
- Shafei H., Webb G., Lennox S. C. Entrapping of the clotted intra-aortic balloon in the descending aorta. Eur J Cardiothorac Surg. 1991;5(3):165–166. doi: 10.1016/1010-7940(91)90217-8. [DOI] [PubMed] [Google Scholar]
- Silberman S., Merin O., Fink D., Bitran D. Intraaortic balloon rupture: a possible means of prevention. Ann Thorac Surg. 1994 Sep;58(3):915–916. doi: 10.1016/0003-4975(94)90802-8. [DOI] [PubMed] [Google Scholar]
- Sutter F. P., Joyce D. H., Bailey B. M., Laub G. W., Fernandez J., Pollock S. B., Adkins M. S., McGrath L. B. Events associated with rupture of intra-aortic balloon counterpulsation devices. ASAIO Trans. 1991 Jan-Mar;37(1):38–40. doi: 10.1097/00002480-199101000-00011. [DOI] [PubMed] [Google Scholar]


