Document Detail


Stroke after intraaortic balloon counterpulsation associated with mobile atheroma in thoracic aorta diagnosed using transesophageal echocardiography.
MedLine Citation:
PMID:  12479623     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a patient who developed embolic stroke after coronary artery bypass grafting (CABG) associated with intraaortic balloon pump (IABP) insertion. Intraoperative transesophageal echocardiography (TEE) revealed marked irregular mass and disruption of the intimal surface of the thoracic aorta with overlying shaggy echogenic material on the intimal surface of the descending thoracic aortic lumen. This case of stroke after IABP insertion suggested that the balloon inflation fragmented some mobile components on the inner surface of the aorta, and this floating debris entered the systemic circulation. TEE might be able to predict the risk of stroke in such a patient.
Authors:
Angie C Y Ho; Chian-Lang Hong; Min-Wen Yang; Pao-Ping Lu; Pyng-Jing Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chang Gung medical journal     Volume:  25     ISSN:  2072-0939     ISO Abbreviation:  Chang Gung Med J     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-12-13     Completed Date:  2003-01-28     Revised Date:  2008-12-16    
Medline Journal Info:
Nlm Unique ID:  101088034     Medline TA:  Chang Gung Med J     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  612-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, Chang Gung Memorial Hospital, Taipei, ROC.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aorta, Thoracic*
Aortic Diseases / complications,  ultrasonography*
Arteriosclerosis / complications,  ultrasonography*
Echocardiography, Transesophageal*
Humans
Intra-Aortic Balloon Pumping / adverse effects*
Male
Stroke / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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