Modification of the Cabrol as a bailout procedure in complicated bicuspid valve aortopathy

Interact Cardiovasc Thorac Surg. 2011 Feb;12(2):199-201. doi: 10.1510/icvts.2010.254961. Epub 2010 Nov 22.

Abstract

The Cabrol technique is reserved where the conventional 'button' or Bentall techniques fail to maintain a tension-free anastomosis between the coronary arteries and aortic conduit. However, the side-to-side anastomosis of the interposition graft that connects the coronary ostia with the aorta in the Cabrol, may lead to kinking or tension, and subsequent occlusion. We present a case of successful Cabrol modification in a patient with bicuspid aortopathy where the graft to the right coronary artery was anastomosed directly onto the valved conduit and the graft to the left main stem onto the previous right aortocoronary graft in a T-fashion.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical / methods*
  • Aorta / surgery*
  • Aortic Valve Insufficiency / complications
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / surgery*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Coronary Vessels / surgery*
  • Echocardiography, Doppler
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Imaging, Three-Dimensional
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Mitral Valve / pathology
  • Mitral Valve / surgery
  • Risk Assessment
  • Treatment Outcome