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European Journal of Cardio-Thoracic Surgery, Vol 9, 602-603, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Complication of intra-aortic balloon pumping in a pediatric patient

HJ Van de Wal, GB Bennink and AA Benatar
Pediatric Heart Center, Wilhelmina Children's Hospital, University of Utrecht, The Netherlands.

A serious complication was seen following insertion of an intra-aortic balloon pump in the ascending aorta in a pediatric patient. The catheter initially coursed to the left subclavian artery from which it folded upon before finding its way in the descending aorta. We recommend that a suitably curved J-tip guidewire be used to guide the IABP balloons distal to the aortic arch into the descending aorta, so as to avoid potentially fatal complications.




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Copyright © 1995 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.