“…However, an open surgical approach has been the extraction modality of choice in recent times [6,8,9]. Open inguinal access to the femoral and/or iliac vessels is the mainstay approach for removal of the entrapped IABP due to the ease of access and possibility for safe extraction under direct vision, although successful trans-and retroperitoneal approaches have also been described [7,10]. As in our case, IABP rupture and entrapment often causes substantial damage to the iliofemoral arteries, necessitating vascular repair by endarterectomy, patch closure, or even bypass graft and resulting in significant morbidity for the patient.…”