Successful endovascular repair of aortic rupture caused by axillary
intra-aortic balloon insertion for a Jehovah's witness patient with
situs inversus anomaly
We report the successful endovascular repair of a rare case of aortic
rupture caused by axillary intra-aortic balloon pump insertion failure.
A 38-year-old Jehovah’s Witness female with situs inversus totalis was
referred to our hospital for acute decompensated heart failure. We
placed an axillary intra-aortic balloon pump for circulatory support.
However, an exchange was required due to balloon malfunction (kinked
driveline). Unfortunately, the exchange was complicated by an iatrogenic
aortic rupture along with large hematoma compressing the trachea.
Emergent endovascular repair was performed successfully without any
blood transfusion. Postoperative computed tomography showed a
successfully repaired aorta and resolving hematoma.