Trans-Thoracic Aortic Insertion of Intra-Aortic Balloon Pumping for the Patient of Ischemic Cardiomyopathy with Severe Arteriosclerotic Disease
10.4326/jjcvs.40.62
- VernacularTitle:経上行大動脈 IABP 使用が効果的であった虚血性心疾患の1手術例
- Author:
Go Kuwahara
;
Tadashi Tashiro
;
Noritsugu Morishige
;
Hidehiko Iwahashi
;
Masaru Nishimi
;
Yoshio Hayashida
;
Kazuma Takeuchi
;
Noritoshi Minematsu
;
Nobuhisa Ito
;
Yuta Sukehiro
- Publication Type:Journal Article
- Keywords:
trans-thoracic IABP;
ASO
- From:Japanese Journal of Cardiovascular Surgery
2011;40(2):62-65
- CountryJapan
- Language:Japanese
-
Abstract:
A 58-year-old man with diabetic nephropathy had been on hemodialysis for 15 years. He had lost his left leg below the knee and whole right leg due to atherosclerotic necrosis. During the past 3 years, his cardiac function had also gradually deteriorated. For the past 2 years, echocardiography showed progressively worsening mitral valve regurgitation. Coronary angiography showed severe stenosis in the left main trunk and left descending artery. Ischemic cardiomyopathy with mitral regurgitation were diagnosed. He underwent coronary artery bypass grafting and mitral valve annuloplasty. Because of difficulty in weaning him from cardiopulmonary bypass, he required intra-aortic balloon-pump (IABP) support. An IABP was inserted through the ascending aorta via a tube graft. It was removed on the 4th postoperative day with a small skin incision, under local anesthesia. The postoperative course was uneventful. This IABP insertion technique was useful for a patient with severe arteriosclerotic disease.
