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78th Annual PostGraduate Assembly in Anesthesiology (PGA78) 2024
December 6 - 9, 2024 | New York City
3148
V-Fib Arrest After Induction for High-Risk CABG: Should He Have Received an IABP?
Poster Presenter
Authors
Affiliations
Part of Topic
V-Fib Arrest After Induction for High-Risk CABG: Should He Have Received an IABP?
Emily Walsh M.D.,1 Josh Hauser, M.D.1
Departments of 1Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN
The Patient
Pre-Op
-69-year-old male with history of coronary artery disease (moderate three-vessel disease on coronary angiogram in 2012), hypertension, hyperlipidemia, and prior tobacco use
-Presented to ED with chest pain, found to have NSTEMI
-Coronary angiogram showed severe left main disease and RCA disease:
-Admitted, scheduled for CABG 3 days after presentation
Intra-Op
- Awake A-line placement: pt complains of chest pain, new ST depressions noted
- After induction: wide complex tachycardia à Vfib arrest à CABG aborted, placed on VA-ECMO
Should this patient have received an IABP prior to CABG?
Learning Objective
To discuss the role of preoperative intra-aortic balloon pump (IABP) placement in high-risk patients scheduled to undergo coronary artery bypass graft (CABG) surgery.