Intra-aortic Balloon Pump Insertion before Laparotomy in Patients Undergoing Surgery for Severe Aortic Valve Stenosis—A Case Study—

Abstract

Patients with aortic valve stenosis have high perioperative risk. We evaluated 5 patients (3 males and 2 females) diagnosed with severe aortic valve stenosis on echocardiography who underwent laparotomy for preoperative intra-aortic balloon pump (IABP) insertion in our hospital between January 2011 and December 2015. The mean age was 72.2 years. One patient underwent emergency and 4 underwent emergency surgery for a malignancy. The mean aortic valve pressure gradient was 33.68 mmHg. The mean valve area was 0.723 cm². The mean duration of IABP use was 3.4 days. No IABP complications or cardiac complications were noted. Insertion of an IABP before laparotomy for patients with severe aortic valve stenosis may be useful for perioperative management.