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A Counterpulsation Technique for Use During Complicated Aortic Surgery With Residual Thoracoabdominal Aortic Aneurysm

Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan

Accepted for publication January 3, 2008.

^_* Address correspondence to Dr Saiki, Department of Cardiovascular Surgery, Tohoku University, Graduate School of Medicine, Seiryomachi, Aoba-ku, Sendai, 980-8574, Japan (Email: ysaiki{at}mail.tains.tohoku.ac.jp).

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.