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European Journal of Echocardiography 2006 7(2):175-176; doi:10.1016/j.euje.2005.04.001
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Copyright © 2005, The European Society of Cardiology

Acute thoracic aortic thrombosis after intra-aortic balloon pumping

Constadina Aggeli, Vassilis I. Barberis*, Charalambos Vlachopoulos, Eleftherios Tsiamis and Christodoulos Stefanadis

First Department of Cardiology, Athens Medical School, Hippokration Hospital, Athens, Greece

Received 2 December 2004; accepted after revision 9 April 2005.

* Corresponding author. Tel.: +30 210 7782446; fax: +30 210 7485039. vbarberis{at}med.uoa.gr


   Abstract

We present two transesophageal echocardiographic images of a patient with acute myocardial infarction, demonstrating a large thrombus attached to the thoracic aortic wall, considered to be a complication of intra-aortic balloon pumping. The patient had received the device because of hemodynamic instability due to an infarct-related ventricular septal defect. Clinical manifestations which led to the diagnosis of thromboembolism were abdominal pain and deterioration of renal function, without signs of limb ischemia.

Keywords: Aortic thrombosis; Intra-aortic balloon pumping; Transesophageal echocardiography


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