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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1995-2-10
|
| pubmed:abstractText |
The case is reported of a sixty-four-year-old patient with DeBakey type I aortic dissection in whom postoperative extensive intra-aortic balloon pumping was applied. Surgical repair involved replacing the ascending aorta with a Medtronic Hall valved conduit. After surgery severe low-output syndrome occurred. Despite the use of high-dose inotropic drugs the patient could not be hemodynamically stabilized. An intra-aortic balloon pump was finally applied as a therapeutical last resort. Within three days, under counterpulsation, the patient reached a stable hemodynamic condition. After twenty-one days in the intensive care unit, he could be transferred to a normal ward. The patient was discharged on the fifty-fourth postoperative day. During counterpulsation there were no balloon- or catheter-induced complications. Follow-up at five months showed the patient in good general health: echocardiography did not identify any lesions of the thoracic aorta which could be linked to counter-pulsation. It is concluded that the postoperative use of intra-aortic balloon pump in the event of DeBakey type I dissecting aneurysm of the aorta, and adversely affected patient hemodynamics, is a justifiable therapeutical alternative.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0171-6425
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
42
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
250-2
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7825167-Aged,
pubmed-meshheading:7825167-Aneurysm, Dissecting,
pubmed-meshheading:7825167-Aortic Aneurysm, Thoracic,
pubmed-meshheading:7825167-Cardiac Output, Low,
pubmed-meshheading:7825167-Follow-Up Studies,
pubmed-meshheading:7825167-Humans,
pubmed-meshheading:7825167-Intra-Aortic Balloon Pumping,
pubmed-meshheading:7825167-Male,
pubmed-meshheading:7825167-Postoperative Complications
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
The use of intra-aortic balloon pump after surgical treatment of DeBakey type I dissecting aneurysm of the aorta.
|
| pubmed:affiliation |
Department of Cardiac Surgery, Zentralklinikum Augsburg, Germany.
|
| pubmed:publicationType |
Journal Article,
Case Reports
|