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The technique used is described in this report. In this case, anchoring the migrated valve to the ascending aorta helped avoid complications, ultimately shortening the procedure. Transaortic iabp insertion should be avoided in patients with aortic dissection, a severe calcified ascending aorta, or obvious ultrasonographic evidence showing potential embolic debris in the ascending aorta.

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An extension tubing is supplied for use with the balloon valvuloplasty catheter during inflation. Additionally, this balloon anchoring technique provides precise upward and downward control of the valve The heartstring proximal seal system is used to avoid aortic clamping to insert the intraaortic balloon pump (iabp) in the ascending aorta or the aortic arch

This technique is used when calcification or atheroma prevents side clamping of the ascending aorta or the aortic arch.

We occluded the ascending aorta with a foley balloon catheter in 2 patients undergoing aortocoronary bypass grafting We have found that the new datascope “percutaneous” balloon catheter offers many advantages for direct insertion into the ascending aorta, but certain precautions are necessary to prevent cerebral emboli when the percutaneous balloon catheter is used this way. The probe is withdrawn until the aorta begins to appear oval in shape.