A counterpulsation technique for use during complicated aortic surgery with residual thoracoabdominal aortic aneurysm

Mechanical circulatory support can be difficult for patients with thoracoabdominal aortic disease. We herein describe a counterpulsation technique using an intra-graft balloon pump that can be safely used in the setting of thoracoabdominal aortic aneurysm remaining immediately after aortic root and arch replacement coupled with coronary artery bypass grafting.