TY - JOUR ID - 10636 TI - Combined association of liver and renal injury by intra-aortic balloon pump malposition JO - ARYA Atherosclerosis Journal JA - ARYA LA - en SN - 1735-3955 AU - Sabzi, Feridoun AU - Heidari, Aghigheh AU - Faraji, Reza AD - Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran AD - Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran Y1 - 2018 PY - 2018 VL - 14 IS - 3 SP - 142 EP - 144 KW - Liver KW - Ventricular Dysfunction KW - Coronary Artery Bypass DO - 10.22122/arya.v14i3.1686 N2 - BACKGROUND: We report an unusual visceral complication of intra-aortic balloon pump (IABP) due to the malpositioning of the catheter in the aorta.CASE REPORT: A 55-year-old man with severe left ventricular dysfunction underwent coronary artery bypass grafting (CABG) with the preoperative use of an intra-aortic balloon pump. Postoperative course was complicated by renal and hepatic failure. The early occurrence of complications during 36 hours after operation exhibited a serious vascular complication. The combination of acute renal and hepatic failure led to the suspension to occlusive effect of intra-aortic balloon pump catheter on ostium of the aforementioned organs. The intra-aortic balloon pump was removed, and urine output immediately restored. Thereafter, daily slop dawn serum levels of aminotransferases were started, and became normal at the 10th day of operation.CONCLUSION: This is an exceptional case that shows how intra-aortic balloon pump may be contributed to mechanical aortic side branches obstruction. A high index of suspension is mandatory in the diagnosis of such bizarre complications.  UR - https://arya.mui.ac.ir/article_10636.html L1 - https://arya.mui.ac.ir/article_10636_e9a2fcbcfb0ccd70b685f05ceedf64e6.pdf ER -