Elective intra-aortic balloon counterpulsation during a high risk liver resection

Authors: Oliver, J. C.¹; Welsh, F. K. S.²; Bell, J.³; Bishop, A. J.⁴; Glover, J.⁵; Rees, M.⁶

Source: Anaesthesia, Volume 63, Number 12, December 2008 , pp. 1365-1368(4)

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Abstract:

Summary

We present the case of a 65-year-old male with severe coronary artery disease and a single colorectal liver metastasis. An elective intra-aortic balloon pump (IABP) was inserted following induction of anaesthesia to reduce left ventricular workload during his liver resection. After an uneventful recovery he was discharged on day 5. We review the literature on the elective use of these devices in cardiac surgery in which it is becoming routine practice in high risk patients. However in non-cardiac surgery there have been only 15 published cases all in very high risk patients, with favourable outcomes. To our knowledge this is the first published case of the use of elective IABP during liver surgery.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1365-2044.2008.05603.x

Affiliations: 1: Specialist Registrar General Surgery 2: Consultant Hepatobiliary Surgeon 3: Consultant Anaesthetist 4: Cardiologist 5: Consultant Cardiologist 6: Consultant Hepatobiliary Surgeon, Basingstoke and North Hampshire Foundation trust, Basingstoke, Hampshire, UK