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Successful endovascular repair of aortic rupture caused by axillary intra‐aortic balloon insertion for a Jehovah's Witness patient with situs inversus anomaly
Author(s) -
Nishida Hidefumi,
Song Tae,
Jeevanandam Valluvan,
Babrowski Trissa A.,
Milner Ross
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14800
Subject(s) - medicine , situs inversus , balloon , surgery , radiology , cardiology
We report the successful endovascular repair of a rare case of aortic rupture caused by axillary intra‐aortic balloon pump (IABP) insertion failure. A 38‐year‐old Jehovah's Witness female with situs inversus totalis was referred to our hospital for acute decompensated heart failure. We placed an axillary IABP for circulatory support. However, an exchange was required due to balloon malfunction (kinked driveline). Unfortunately, the exchange was complicated by an iatrogenic aortic rupture along with a large hematoma compressing the trachea. Emergent endovascular repair was performed successfully without any blood transfusion. Postoperative computed tomography showed a successfully repaired aorta and resolving hematoma.