We report a case of intraaortic balloon entrapment in a 70-year-old ma
n who underwent emergency triple coronary bypass. Intraaortic balloon
rupture caused the formation of a clot inside the balloon that eventua
lly was responsible for the balloon's entrapment at the aortic bifurca
tion. The patient had severe atherosclerosis of the aorta and iliac ar
teries. Balloon removal required aorto-iliac exposure and aorto-bifemo
ral bypass. After 16 months, he is symptom free and at home.