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Peer-reviewedCC BYCureus

Intra-aortic Balloon Counterpulsation-Assisted Cardiac Support in the Anesthetic Management of Surgery for Acute Cervical Spine Compression With Severe Coronary Artery Disease in the Prone Position

  • Priya Motiani1
  • Swathi Mallikarjuna2
  • Murali Chakravarthy2
  • Shafiya Shaikh2
  1. 1Anaesthesiology, Fortis Hospitals, Bangalore, IND
  2. 2Anaesthesiology, Fortis Hospital, Bangalore, IND
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Abstract

Severe coronary artery disease associated with the requirement for urgent cervical spine surgery in an elderly patient in a prone position is challenging for the anesthesiologist. Perioperative hemodynamic parameters are key to surgical success. Intra-aortic balloon counterpulsation (IABC) is a well-established modality for the management of patients with ischemic heart disease. There are very few case reports on management in noncardiac surgery with IABC. Here, we present a case report of a 74-year-old male patient with cervical cord compression scheduled for C3-C7 laminectomy and lateral mass fixation, with severe coronary artery disease and a recent history of severe coronary artery disease with triple-vessel disease and severely impaired left ventricular function, managed with IABC insertion post-induction of general anesthesia for intraoperative hemodynamic management to prevent cervical cord hypoperfusion and perioperative myocardial ischemia/infarction.

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Cite

BibTeXRIS
BibTeX
@article{motiani2026intraaortic,
  title = {{Intra-aortic Balloon Counterpulsation-Assisted Cardiac Support in the Anesthetic Management of Surgery for Acute Cervical Spine Compression With Severe Coronary Artery Disease in the Prone Position}},
  author = {Priya Motiani and Swathi Mallikarjuna and Murali Chakravarthy and Shafiya Shaikh},
  journal = {Cureus},
  year = {2026},
  month = sep,
  doi = {10.7759/cureus.117179},
  url = {https://europepmc.org/article/PMC/PMC13719311},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Intra-aortic Balloon Counterpulsation-Assisted Cardiac Support in the Anesthetic Management of Surgery for Acute Cervical Spine Compression With Severe Coronary Artery Disease in the Prone Position
AU  - Priya Motiani
AU  - Swathi Mallikarjuna
AU  - Murali Chakravarthy
AU  - Shafiya Shaikh
PY  - 2026
DA  - 2026/09/29
JO  - Cureus
DO  - 10.7759/cureus.117179
UR  - https://europepmc.org/article/PMC/PMC13719311
AB  - Severe coronary artery disease associated with the requirement for urgent cervical spine surgery in an elderly patient in a prone position is challenging for the anesthesiologist. Perioperative hemodynamic parameters are key to surgical success. Intra-aortic balloon counterpulsation (IABC) is a well-established modality for the management of patients with ischemic heart disease. There are very few case reports on management in noncardiac surgery with IABC. Here, we present a case report of a 74-year-old male patient with cervical cord compression scheduled for C3-C7 laminectomy and lateral mass fixation, with severe coronary artery disease and a recent history of severe coronary artery disease with triple-vessel disease and severely impaired left ventricular function, managed with IABC insertion post-induction of general anesthesia for intraoperative hemodynamic management to prevent cervical cord hypoperfusion and perioperative myocardial ischemia/infarction.
SN  - 2168-8184
ER  -