Case Report: A 42-year-old Male with IABP Developing Multiple Organ Embolism and Intestinal Necrosis

Overview

Journal Front Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2024 Mar 5

PMID 38440209

Authors

Wanying Yang

Jing Lu

Ting Du

Lulin Sha

Wei Wang

Xin Wang

Qian Gong

Affiliations

Soon will be listed here.

Abstract

We report a 42-year-old male patient who was diagnosed with acute myocardial infarction (AMI), and subsequently underwent percutaneous coronary intervention (PCI) for revascularization. The patient was transferred to the cardiac intensive care unit for intra-aortic balloon pump (IABP) due to frequent malignant arrhythmia after PCI. Then the patient experienced the most severe complications of IABP, including multiple organ embolism and intestinal necrosis. This report highlights the rare serious complications of IABP and the challenges encountered in handling this complex case.

References

Solheim S, Seljeflot I, Lunde K, Bjornerheim R, Aakhus S, Forfang K . Frequency of left ventricular thrombus in patients with anterior wall acute myocardial infarction treated with percutaneous coronary intervention and dual antiplatelet therapy. Am J Cardiol. 2010; 106(9):1197-200. DOI: 10.1016/j.amjcard.2010.06.043. View

Gnanapandithan K, Feuerstadt P . Review Article: Mesenteric Ischemia. Curr Gastroenterol Rep. 2020; 22(4):17. DOI: 10.1007/s11894-020-0754-x. View

Parissis H . Haemodynamic effects of the use of the intraaortic balloon pump. Hellenic J Cardiol. 2008; 48(6):346-51. View

de Jong M, Lorusso R, Al Awami F, Matteuci F, Parise O, Lozekoot P . Vascular complications following intra-aortic balloon pump implantation: an updated review. Perfusion. 2017; 33(2):96-104. PMC: 5844455. DOI: 10.1177/0267659117727825. View

Ferguson 3rd J, Cohen M, Freedman Jr R, Stone G, Miller M, Joseph D . The current practice of intra-aortic balloon counterpulsation: results from the Benchmark Registry. J Am Coll Cardiol. 2001; 38(5):1456-62. DOI: 10.1016/s0735-1097(01)01553-4. View

Meharwal Z, Trehan N . Vascular complications of intra-aortic balloon insertion in patients undergoing coronary reavscularization: analysis of 911 cases. Eur J Cardiothorac Surg. 2002; 21(4):741-7. DOI: 10.1016/s1010-7940(02)00034-9. View

Baldetti L, Beneduce A, Boccellino A, Pagnesi M, Barone G, Gallone G . Bedside intra-aortic balloon pump insertion in cardiac intensive care unit: A single-center experience. Catheter Cardiovasc Interv. 2022; 99(7):1976-1983. PMC: 9544237. DOI: 10.1002/ccd.30197. View

Baldetti L, Pagnesi M, Gramegna M, Belletti A, Beneduce A, Pazzanese V . Intra-Aortic Balloon Pumping in Acute Decompensated Heart Failure With Hypoperfusion: From Pathophysiology to Clinical Practice. Circ Heart Fail. 2021; 14(11):e008527. DOI: 10.1161/CIRCHEARTFAILURE.121.008527. View

Segev A, Ellis M, Segev F, Friedman Z, Reshef T, Sparkes J . High prevalence of thrombophilia among young patients with myocardial infarction and few conventional risk factors. Int J Cardiol. 2005; 98(3):421-4. DOI: 10.1016/j.ijcard.2003.10.057. View

10.

Becquemin J . Management of the Diseases of Mesenteric Arteries and Veins: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS) [corrected]. Eur J Vasc Endovasc Surg. 2017; 53(4):455-457. DOI: 10.1016/j.ejvs.2017.03.009. View

11.

Tilsed J, Casamassima A, Kurihara H, Mariani D, Martinez I, Pereira J . ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg. 2016; 42(2):253-70. PMC: 4830881. DOI: 10.1007/s00068-016-0634-0. View

12.

Bala M, Catena F, Kashuk J, De Simone B, Gomes C, Weber D . Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2022; 17(1):54. PMC: 9580452. DOI: 10.1186/s13017-022-00443-x. View

13.

Liao G, Chen S, Cao H, Wang W, Gao Q . Review: Acute superior mesenteric artery embolism: A vascular emergency cannot be ignored by physicians. Medicine (Baltimore). 2019; 98(6):e14446. PMC: 6380707. DOI: 10.1097/MD.0000000000014446. View

14.

Nishida H, Koda Y, Kalantari S, Nguyen A, Chung B, Grinstein J . Outcomes of Ambulatory Axillary Intraaortic Balloon Pump as a Bridge to Heart Transplantation. Ann Thorac Surg. 2020; 111(4):1264-1270. DOI: 10.1016/j.athoracsur.2020.06.077. View