Undiagnosed aortic dissection in patient with intra-aortic b
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IABP is commonly used in patients with multi-vessel diseases and low ejection fraction to improve coronary blood flow. However, use of IABP may have complications in 20–30% of cases.Complications described are thrombocytopenia, infection, bleeding with aortoiliac artery injury, mesenteric ischemia, renal insufficiency, descending aortic dissection, thromboembolism, and limb ischemia.60 years old lady presented with chest pain and was admitted in local hospital. Electrocardiogram was suggestive of anterior myocardial ischemia. Patient underwent coronary angiography which revealed severe triple vessles coronary artery disease. As patient was hemodynamically unstable and in cardiogenic shock, intraaortic balloon pump was inserted .IABP augmented diastolic blood pressure was less than unassisted systolic blood pressure despite setting maximum augmentation on IABP machine....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971992/
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