Frontiers in Anesthesiology (Nov 2023)

Case Report: Pre-emptive intra-aortic balloon counterpulsation in patients with aortic regurgitation initiated after cross-clamping during cardiopulmonary bypass

  • David Hirschl,
  • Lennart Muras,
  • Simon Schemke,
  • Maximilian Vondran,
  • Matthias Heringlake

DOI
https://doi.org/10.3389/fanes.2023.1275379
Journal volume & issue
Vol. 2

Abstract

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Preoperative implantation of an intra-aortic balloon pump has been shown to reduce mortality in high-risk cardiac surgery cases. However, one main contraindication for its use is severe aortic regurgitation. We describe a case of safe and beneficial use in a patient presenting with moderate to severe aortic regurgitation and highly reduced ejection fraction undergoing aortic valve replacement.

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