Results Age at time of surgery was 7 days (4-120 days) and weight 3.1 kg (2.1 to 5.8 kg). Selective cerebral perfusion was maintained in all patients throughout aortic reconstruction. During the period of selective cerebral perfusion, pump flow rate was maintained at 30 mls/kg/min. Aortic cross clamp time, low-flow, and total CPB time were 66 (42-114), 29 (18-41) and 109 (83-217) minutes, respe...

Clinically, we often encounter cancer patients who also have cardiovascular disease such as coronary artery disease. We experienced a case of severe coronary artery disease and a large hepatocellular carcinoma in a 69-year-old man. To reduce the risk of a perioperative cardiovascular event during mesohepatectomy, an elective intra-aortic balloon pump (IABP) was used. After an uneventful recover...

PURPOSE The intra-aortic balloon pump (IABP) provides circulatory support through counterpulsation. The hemodynamic effects of the IABP may vary with assisting frequency and depend on IAB inflation/deflation timing. We aimed to assess in vivo the IABP benefits on coronary, aortic, and left ventricular hemodynamics at different assistance frequencies and trigger timings. METHODS Six healthy, a...

Perforation of the proximal descending aorta occurred in a patient on intra-aortic balloon pump (IABP) support after emergency coronary intervention for acute myocardial infarction. The IABP catheter was inserted under fluoroscopic guidance into the right femoral artery without difficulty, but after 8 h on IABP support the patient went into shock with a left hemothorax. Emergency surgery was pe...

From 1986 to 1988, balloon aortic valvuloplasty was performed in 32 patients with congenital valvular aortic stenosis. The patients ranged in age from 2 days to 28 years (mean +/- SD 8.3 +/- 5.9). One balloon was used in 17 patients and two balloons were used in 15 patients. Immediately after valvuloplasty, peak systolic pressure gradient across the aortic valve decreased significantly from 77 ...

A 26-YEAR-OLD symptomatic female patient with severe aortic and mitral valve stenoses underwent aortic and mitral valve balloon valvuloplasty in the same setting. Aortic balloon valvuloplasty was first performed retrogradely using a polyethylene 20-mm balloon (Mansfield, USA), and mitral valvuloplasty was performed antegradely through transseptal technique using an Inoue 28-mm balloon (Toray, J...

A 57-year-old male with no significant past medical history called the emergency services with a 4-h history of sudden-onset central chest pain associated with nausea, vomiting, sweating and an episode of collapse. The on-site electrocardiogram (ECG) demonstrated ST-segment elevation in the anterior, inferior and lateral leads (Figure 1) and he was transferred urgently to the regional percutane...