Intra-aortic balloon pump treatment in an adult patient with a Fontan circulation and acute heart failure: a case report.

ABSTRACT:

Background

There is limited evidence for the use of an intra-aortic balloon pump (IABP) in adult patients with a total cavopulmonary, or Fontan circulation.

Case summary

A patient in his twenties with a Fontan circulation presented with sepsis, pneumonia, and pulmonary oedema. He was born with a hypoplastic left ventricle, atrioventricular septal defect, and hypoplastic aortic arch, and a total cavopulmonary circulation had been established within his first years of life. Standard of care treatment with antibiotics, non-invasive ventilatory support, loop diuretics, and vasopressors was initiated. Due to persistent pulmonary congestion and increasing general fatigue, an IABP was placed via a femoral artery to offload the failing systemic ventricle. Secondary to IABP treatment

SUBMITTER: Langseth MS 

PROVIDER: S-EPMC11192165 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature