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Carter A. Printup, Jr.
William R. Dietrick
John R.F. Penido
Paul E. Johnson, Jr.
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Ann Thorac Surg 1975;20:694-697
© 1975 The Society of Thoracic Surgeons

Articles

Ascending Aorta Insertion of the Dual-Chambered Intraaortic Balloon for Counterpulsation During Cardiac Operations

Carter A. Printup, Jr., M.D.*, William R. Dietrick, M.D., James H. Getzen, M.D., John R.F. Penido, M.D., L. Stephen Gordon, M.D., Paul E. Johnson, Jr., M.D., Bert H. Cotton, M.D., Hilton Buggs, M.A., M.S.

From the Department of Thoracic and Cardiovascular Surgery, and the Division of Physiology, The Cardiovascular Diagnostic Laboratory, Huntington Memorial Hospital and Medical Center, Pasadena, Calif

Accepted for publication December 31, 1974.

* Address reprint requests to Dr. Printup, Huntington Memorial Hospital and Medical Center, 100 Congress St., Pasadena, Calif. 91105

A patient with left ventricular power failure after aortocoronary saphenous vein bypass was successfully managed by intraaortic dualchambered balloon counterpulsation through the ascending aorta. This insertion route reverses the orientation of the spherical distal chamber, which inflates early in diastole and partially occludes the aorta. This position achieved an effective augmentation pressure during left ventricular diastole and reduced arterial end-diastolic pressure considerably. The technique of insertion and events at operation and postoperatively are discussed.




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