Yeguiayan Jean Michel, Ravisy Jacques, Lenfant François, Pillet Marc, Freysz Marc
Department of Anesthesiology and Intensive Care, General Hospital, CHU Dijon, 3, Rue Faubourg Raines BP 1519, 21033 Dijon Cedex, France.
Resuscitation. 2007 Mar;72(3):493-5. doi: 10.1016/j.resuscitation.2006.07.011. Epub 2006 Dec 1.
The authors report a patient with a history of angina pectoris who developed anaphylactic shock that was complicated by a heart failure due to focal heart ischaemia. Early coronary angiography confirmed the diagnosis of localised coronary hypoperfusion. Intra aortic balloon counter pulsation succeeded in the restoration of coronary blood flow and haemodynamic stability. The authors discuss the opportunity of such treatment when a focal coronary hypoperfusion is diagnosed.