Pericardial graft for intraoperative balloon pump insertion.

A technique that permits rapid insertion of an intraaortic balloon pump to support patients who cannot be successfully weaned from cardiopulmonary bypass is described. A pericardial patch is obtained while the sternum is still open, and is sutured to a common femoral arteriotomy. A 6-0 Prolene mattress stitch is inserted at the heel and continued along the sides. The ends are tied at the toe, and the same suture is used to construct a tube of pericardium over the balloon catheter. A single heavy silk suture is placed around the pericardial graft to prevent bleeding. The technique helps prevent thrombus and avoids infectious complications. It reduces the incidence of vascular complications and makes use of the Fogarty catheter after balloon removal unnecessary. We have used the method in 9 patients since November, 1979, without problems.