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Acute thrombosis of an abdominal aortic aneurysm following intra-aortic balloon pumping

Department of Cardiothoracic and Vascular Surgery, Virga Jesse Hospital Hasselt, Stadsomvaart 11, Hasselt 3500, Belgium

*Corresponding author. Tel.: +32-11-30-90-60; fax: +32-11-30-90-68.

E-mail address: marc.hendrikx{at}virgajesse.be (M. Hendrikx).

Acute thrombosis of an abdominal aortic aneurysm is a rare but devastating surgical emergency. We present the first case of a patient with sudden thrombosis of an AAA delayed (more than 24 h) after removal of an intra-aortic balloon pump. Treatment options include open surgical repair, axillobifemoral grafting or endovascular aortic repair. The patient received an aorto-bifemoral graft. The associations between intra-aortic balloon pump counter-pulsation and abdominal aortic thrombosis are discussed.

Key Words: Aortic aneurysm; Thrombosis; Intra-aortic balloon pump