Successful endovascular repair of aortic rupture caused by axillary intra-aortic balloon insertion for a Jehovah's Witness patient with situs inversus anomaly

J Card Surg. 2020 Sep;35(9):2410-2413. doi: 10.1111/jocs.14800. Epub 2020 Jul 11.


We report the successful endovascular repair of a rare case of aortic rupture caused by axillary intra-aortic balloon pump (IABP) 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 IABP 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 a 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.

Keywords: aorta and great vessels.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta / surgery
  • Aortic Rupture* / diagnostic imaging
  • Aortic Rupture* / surgery
  • Endovascular Procedures*
  • Female
  • Humans
  • Jehovah's Witnesses*
  • Situs Inversus* / complications