Jt. Lund et al., COMPOSITE GRAFT REPLACEMENT OF THE AORTIC-VALVE AND ASCENDING AORTA WITH CABROL TECHNIQUE, Scandinavian journal of thoracic and cardiovascular surgery, 27(2), 1993, pp. 99-103
Replacement of the aortic valve, root and ascending aorta with the tec
hnique first described by Cabrol was performed on 17 patients. In five
cases the aortic arch was also replaced. The indications were type A
aortic dissection with aortic insufficiency (8 cases, with acute disse
ction in 7), native endocarditis with severe aortic insufficiency and
aortic root abscess (3 cases), prosthetic endocarditis (3), and true a
neurysm of the ascending aorta with aortic insufficiency (3). Acute su
rgery was performed in 15 cases (88%). The overall operative mortality
was 41%. For the patients discharged from hospital the mean observati
on time was 30 months. None died, but in one case the right leg of the
interposition graft became occluded and reoperation was required 40 m
onths after the primary operation for acute type A dissection. The des
cribed technique of aortic valve and root displacement can be used in
all cases in which use of a composite graft is indicated, except in si
tuations where the coronary ostia and arteries are damaged by acute di
ssection.