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Elective intra‐aortic balloon counterpulsation during a high risk liver resection
Author(s) -
Oliver J. C.,
Welsh F. K. S.,
Bell J.,
Bishop A. J.,
Glover J.,
Rees M.
Publication year - 2008
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2008.05603.x
Subject(s) - medicine , elective surgery , surgery , aortic surgery , intra aortic balloon pump , balloon , resection , coronary artery disease , cardiology , general surgery , aorta , myocardial infarction , intra aortic balloon pumping , cardiogenic shock
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.