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Ann Thorac Surg 1982;33:631-634
© 1982 The Society of Thoracic Surgeons

Articles

Bilateral Renal Artery Thrombotic Occlusion: A Unique Complication Following Removal of a Transthoracic Intraaortic Balloon

Frank A. Baciewicz, Jr., M.D., Benjamin M. Kaplan, M.D., Thomas E. Murphy, M.D.*, Harvey L. Neiman, M.D.

From the Departments of Surgery, Radiology, and Clinical Medicine, Northwestern University Medical School, and the Northwestern Memorial Hospital, Chicago, IL

Accepted for publication May 13, 1981.

* Address reprint requests to Dr. Murphy, 645 N Michigan Ave, Chicago, IL 60611

An intraaortic balloon pump (IABP) was inserted through the ascending aorta during a coronary artery bypass operation. Five days later, after removal of the IABP and ligation of the end-to-side Dacron graft, the patient became acutely anuric. Abdominal aortography demonstrated a large "trapeze-shaped" thrombus which occluded both renal arteries. Following thrombectomy the patient recovered, with eventual return of renal function to the preoperative state.




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