European Journal of Cardio-Thoracic Surgery, Vol 11, 1176-1179, Copyright © 1997 by European Association for Cardio-thoracic Surgery
Successful surgery for perforation of the thoracic aorta caused by the tip of an intra-aortic balloon pump
T Wolff and P Stulz
Klinik fur Herz- und Thoraxchirurgie, Kantonsspital, Basel, Switzerland.
We describe a case of perforation of the thoracic aorta caused by the tip
of an intra-aortic balloon pump. The perforation was confirmed by computed
tomography (CT) scan and immediate surgical repair was successful. Vascular
injury due to the insertion of an intra-aortic balloon pump is quite common
but is predominantly confined to limb ischemia or injury to the femoral or
iliac artery. Iatrogenic aortic perforation leading to significant bleeding
is much less common and usually fatal.