Open AccessUndiagnosed aortic dissection in patient with intra-aortic balloon pump
Author(s) -
Monish S Raut,
Arun Maheshwari,
Manish Sharma
Publication year - 2016
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.185562
Subject(s) - medicine , cardiogenic shock , cardiology , intra aortic balloon pump , aortic dissection , chest pain , blood pressure , balloon , intra aortic balloon pumping , coronary artery disease , shock (circulatory) , aortic pressure , aorta , surgery , myocardial infarction
60 years old lady presented with chest pain and was admitted in local hospital. Electrocardiogram was suggestive of anterior myocardial ischemia. Patient underwent coronary angiography which revealed severe triple vessles coronary artery disease. As patient was hemodynamically unstable and in cardiogenic shock, intraaortic balloon pump was inserted .IABP augmented diastolic blood pressure was less than unassisted systolic blood pressure despite setting maximum augmentation on IABP machine.