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Eur J Cardiothorac Surg 2007;32:797. doi:10.1016/j.ejcts.2007.08.007
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Right counterpulsation?

Victor X. Mosquera*, Francisco Estevez, Javier Perez, José Vicente Valle

Department of Cardiac Surgery, Juan Canalejo Hospital, A Coruña, Spain

Received 23 July 2007; received in revised form 3 August 2007; accepted 6 August 2007.

* Corresponding author. Address: Cardiac Surgery Department, Hospital Juan Canalejo, As Xubias n°84, CP 15006, A Coruña, Spain. Tel.: +34 981178000x291840 (O)/699054009 (R); fax: +34 981178299.

Key Words: Intra-aortic balloon pump • Peripheral arterial disease • Arteriovenous fistula • Chest X-ray

After an aortic valve replacement, the patient was unable to wean-off pump due to LV failure, so an intra-aortic balloon pump (IABP) was implanted through the left common femoral artery exposed by groin dissection. Since it was not possible to get a proper arterial pressure wave in the arterial line, a portable chest X-ray was made to check its position (Fig. 1 ).


Figure 1
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  		Fig. 1. Chest radiograph performed at ICU after the IABP implantation. Note the presence of the IABP's tip inside the right atrium (black arrow). The device was immediately removed and a surgical review of the left common femoral artery was performed, finding an arteriovenous fistula which was surgically repaired.

 





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Right arrow Peripheral vascular

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