A selective aortic balloon device includes a catheter comprising an open distal end configured to be inserted into a body cavity or vessel, and a plurality of adjustable port regions with inflatable balloons between adjacent adjustable port regions. Each adjustable port region is configured to move between a closed position and an open position to selectively allow fluid flow to enter the catheter through the open distal end and to exit the catheter through one or more of the plurality of adjustable port regions depending on an inflation pattern of the inflatable balloons.