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Ann Thorac Surg 2009;88:e60-e62. doi:10.1016/j.athoracsur.2009.09.083
© 2009 The Society of Thoracic Surgeons
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Luca Dainese
Rita Spirito
Paolo Biglioli
Marco Agrifoglio
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Case Reports

Aortic Dissection Complicating Intraaortic Balloon Pumping: Percutaneous Management of Delayed Spinal Cord Ischemia

Piero Trabattoni, MD, Stefano Zoli, MD*, Luca Dainese, MD, Rita Spirito, MD, Paolo Biglioli, MD, Marco Agrifoglio, MD, PhD

Department of Cardiovascular Sciences, University of Milan, Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico, University of Milan, Milan, Italy

Accepted for publication September 24, 2009.

* Address correspondence to Dr Zoli, Department of Cardiovascular Sciences, University of Milan, Centro Cardiologico, Fondazione Monzino IRCCS, Via Parea 4, Milan, 20138, Italy (Email: stefanozoli{at}gmail.com).

Iatrogenic acute type B dissection is a rare complication of intraaortic balloon pumping. Delayed visceral and spinal cord malperfusion can occur for distal progression of the dissection or relative hypotension. Cerebrospinal fluid drainage and percutaneous balloon fenestration provide a safe and effective method for managing ischemic complications.






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