The intra-aortic balloon pump as an adjunctive therapy for severe myocardial contusion.

Abstract

The management of patients with post-traumatic myocardial contusion requires close electrocardiographic and hemodynamic monitoring. When complications such as cardiogenic shock occur, aggressive treatment using Swan-Ganz catheterization for monitoring of intravascular volume and cardiac inotropic support are necessary. Failure to restore hemodynamic stability using these measures is an indication for the use of intra-aortic balloon pump counterpulsation. A case of successful management of a patient with post-traumatic myocardial contusion complicated by refractory cardiogenic shock using intra-aortic balloon pump counterpulsation is presented. Use of the intra-aortic balloon pump improved cardiac output, eventually resulting in hemodynamic stabilization.

• Authors: C Demas, L Flancbaum, G Scott, S Z Trooskin
• Journal: The American journal of emergency medicine (Am J Emerg Med) Vol. 5 Issue 6 Pg. 499-502 (Nov 1987) ISSN: 0735-6757 [Print] United States
• PMID: 3663291 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Electrocardiography
• Emergencies
• Heart Injuries (complications, therapy)
• Hemodynamics
• Humans
• Intra-Aortic Balloon Pumping
• Male
• Resuscitation
• Shock, Cardiogenic (etiology)