Elective use of intra-aortic balloon pumping during Whipple’s procedure in a patient with ischaemic heart disease

Authors

  • Kalutla Subramanayam Apollo Hospitals
  • Balram Babu Rajanbabu Apollo Hospitals
  • Ravishankar Bhat Apollo Hospitals
  • Srinivasa Reddy Apollo Hospitals

Keywords:

Intra-aortic Ballon Pumping (IABP), Coronary artery disease, Non-cardiac, surgery, Whipples resection

Abstract

A 61-year-old man with diabetes who presented with carcinoma of the head of the pancreas was detected to have severe coronary artery disease. Coronary artery bypass grafting was advised. In view of the urgent nature of the abdominal surgery, resection of the malignancy was carried out prior to coronary revascularisation, after placement of an intra-aortic balloon pump (IABP) following induction of anaesthesia to prevent perioperative myocardial ischaemia. The use of an IABP in a noncardiac setting is not well established. Only 16 cases have been reported. To the best of our knowledge, this is the second documented case of the use of elective IABP during Whipple’s procedure.

Author Biographies

Kalutla Subramanayam, Apollo Hospitals

MD Senior Consultant Department of Anaesthesiology Apollo Hospitals Bangalore India

Balram Babu Rajanbabu, Apollo Hospitals

MCh Junior Consultant Department of Cardiothoracic Surgery Apollo Hospitals Bangalore India

Ravishankar Bhat, Apollo Hospitals

MCh Senior Consultant Department of Surgical Gastroenterology Apollo Hospitals Bangalore India

Srinivasa Reddy, Apollo Hospitals

MCh Senior Consultant Department of Cardiothoracic Surgery Apollo Hospitals Bangalore India

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Published

2012-10-04

Issue

Vol. 19 No. 1 (2013)

Section

Case Studies

License

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