Combined association of liver and renal injury by intra-aortic balloon pump malposition

Sabzi, Feridoun; Heidari, Aghigheh; Faraji, Reza

doi:10.22122/arya.v14i3.1686

Combined association of liver and renal injury by intra-aortic balloon pump malposition

Document Type : Case Report

Authors

Feridoun Sabzi ¹

Aghigheh Heidari ²

Reza Faraji ¹

¹ Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran

² Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

https://doi.org/10.22122/arya.v14i3.1686

Abstract

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.

Keywords

Liver

Ventricular Dysfunction

Coronary Artery Bypass

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