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Ann Thorac Surg 2002;73:956-958
© 2002 The Society of Thoracic Surgeons

Case report

Successful stent-grafting for perforation of the thoracic aorta by an intraaortic balloon pump

Victor Bautista-Hernández, MDa, Javier Moya, MDa, Jorge Martinell, MD*a, Maria Luz Polo, MD,a, Julián Fraile, MD, PhDa

a Cardiovascular Surgery Service, Jiménez Díiaz Foundation, Madrid, Spain

Accepted for publication June 28, 2001.

* Address reprint requests to Dr Martinell, Servicio de Cirugíia Cardiovascular, Fundación Jiménez Díaz, Av Reyes Católicos 2, 28040 Madrid, Spain
e-mail: jmartinell{at}fjd.es

Vascular complications associated with intraaortic balloon pump placement are quite common and predominantly related to femoral or iliac damage. Iatrogenic injury of the thoracic aorta is less usual and often fatal. Surgery for the lesions of the descending thoracic aorta still has a relatively high morbidity and mortality. Endovascular covered stent-graft prostheses have become a less invasive therapeutic approach to lesions of the thoracic aorta, especially in patients with high surgical risk. We describe a case of perforation of the thoracic aorta caused by an intraaortic balloon pump. The injury was confirmed by aortography and successfully repaired by implantation of an endovascular stent-graft via the left common iliac artery.






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