Korean J Thorac Cardiovasc Surg.  2008 Feb;41(1):61-67.

Endovascular Aortic Balloon Clamping for Various Heart Disease

• Choi JH
• Park PW

Abstract

BACKGROUND: Conventional ascending aortic cross clamping is often limited. This study was carried out to evaluate the safety and efficacy of an endovascular aortic clamping technique with an intraaortic balloon catheter. MATERIAL AND METHOD: From April 2004 to January 2007, surgery with endoaortic clamping was performed in seven patients. A retrograde access perfusion (RAP) catheter was used in six patients and a Pruitt's balloon catheter in two patients. The indication for the operation was a retrosternal pseudoaneurysm of the aortic root in six patients, diffuse calcification of the ascending aorta with aortic regurgitation in 2 patients and an atrial septal defect in one patient. Five patients had at least two prior cardiac surgeries. RESULT: Successful insertion of the catheter and endoaortic clamping was achieved in all patients.
CONCLUSION
The endovascular aortic clamping technique with a balloon catheter was a useful alternative method for patients in whom conventional cardiac surgery was limited.

Keyword

Retrograde perfusion; Cardiopulmonary bypass; Aneurysm, false; Minimal invasive surgery; Balloon occlusion

MeSH Terms

Aneurysm, False
Aorta
Aortic Valve Insufficiency
Balloon Occlusion
Cardiopulmonary Bypass
Catheters
Constriction
Heart
Heart Diseases
Heart Septal Defects, Atrial
Humans
Perfusion
Thoracic Surgery