Elective intra-aortic balloon counterpulsation during a high risk liver resection

Anaesthesia
J C OliverM Rees

Abstract

We present the case of a 65-year-old male with severe coronary artery disease and a single colorectal liver metastasis. An elective intra-aortic balloon pump (IABP) was inserted following induction of anaesthesia to reduce left ventricular workload during his liver resection. After an uneventful recovery he was discharged on day 5. We review the literature on the elective use of these devices in cardiac surgery in which it is becoming routine practice in high risk patients. However in non-cardiac surgery there have been only 15 published cases all in very high risk patients, with favourable outcomes. To our knowledge this is the first published case of the use of elective IABP during liver surgery.

References

Nov 1, 1996·The British Journal of Surgery·M ReesS Bygrave
Apr 20, 2001·The Annals of Thoracic Surgery·R J BaskettW A Ghati
Jun 13, 2001·Journal of the American College of Cardiology·G LandesbergC Weissman
Nov 3, 2001·Journal of the American College of Cardiology·J J FergusonE M Ohman
Mar 20, 2004·Irish Journal of Medical Science·M H Millat, E W J Cameron
Dec 13, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Richard A Santa-CruzE Magnus Ohman
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·S BasuM Rees

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Citations

Sep 24, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Gaetano BurgioAntonio Arcadipane
Sep 7, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Thuy B TranGeorge A Poultsides
Mar 5, 2016·Surgical Case Reports·Kazuo OkadomeHideo Baba
Jul 16, 2020·Anesthesia and Analgesia·Laura S González, Mark A Chaney

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