Composite aortic root replacement using the classic or modified Cabrol coronary artery implantation technique

Garlicki, M; Roguski, Krzysztof; Puchniewicz, Maciej; Ehrlich, Marek

doi:10.1080/14017430600746276

Cited by 8 publications

(22 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only a few studies have reported the outcomes of the technique described in this study. Garlicki et al report a 0% early mortality in their series of 19 patients following the modified Cabrol technique, 22 whereas a larger series of 45 patients by Nakahira et al report an early mortality of 5% 19 . The former study, however, does not elaborate on the premorbid state of their patients nor their indications for a root replacement.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Indirect Re-Implantation of the Left Coronary Artery During Aortic Surgery

Senanayake

Cooper

2012

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Objective: Indirect re‐implantation of the left coronary artery (LCA) via an interposition graft simplifies difficult LCA re‐implantation during aortic root replacement. Little information exists regarding the results of this technique. In this study, we report our experience. Methods: Between January 2001 and July 2008, of 82 aortic root replacements, 24 (mean age 48.2 years, 83% male) used the indirect re‐implantation technique. All case notes were retrospectively analyzed. Indications for operation were; aortic root aneurysm (n = 16), acute dissection (n = 6), existent homograft calcification (n = 1), failed Ross procedure (n = 1). Reasons for indirect re‐implantation were: difficult LCA mobilization secondary to previous cardiac surgery (n = 7), short left main stem (n = 6), acute dissection (n = 6), adherence to surrounding tissues (n = 5). All patients had yearly CT or MRI follow‐up. Results: Mechanical and tissue valved conduits were implanted in 22 and two patients, respectively. Ten millimeters (n = 17) or 8 mm (n = 7) Dacron grafts were used for LCA re‐implantation. Thirty‐day mortality was 12.5%. Postoperative complications were: re‐opening for bleeding (n = 2), pericardial effusion (n = 4), renal failure (n = 1). Over a median follow‐up of 26 months (range 4 to 81), one developed a false aneurysm at the right coronary artery anastomosis five months postoperatively, which was subsequently repaired. All interposition grafts remained patent on MRI or CT. There were six late deaths. At median follow‐up survival rate was 71%. Conclusions: The indirect re‐implantation of the LCA during aortic root replacements is a reliable, safe, and effective method in dealing with the LCA in difficult circumstances. Survival at 26 months is equivalent to other series of similar patients.

show abstract

Section: Discussionmentioning

confidence: 97%

“…Tension on the coronary ostia is avoided using this interposed graft. Although the operative feasibility of this technique is promising, only few studies have shown the midterm outcomes of this technique 19,22 …”

Section: Discussionmentioning

confidence: 99%

Indirect Re-Implantation of the Left Coronary Artery During Aortic Surgery

Senanayake

Cooper

2012

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

“…Major valve-related adverse event 7 studies were included, with a random effects model combining MAVRE of 2.32% (per patient-year), a 95% con dence interval of (1.04-5.16) and a heterogeneity I 2 of 76.5% [6, 9,14,22,[24][25]27]. (Fig.…”

Section: Root Reoperationsmentioning

confidence: 99%

Cabrol Procedure and Its Modifications： A Systematic Review and Meta-Analysis

Yang,

Zhang,

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Cabrol procedure has undergone various modifications and advancements since it was invented. However, there is a notable gap in the literature regarding meta-analyses assessing the Cabrol procedure. Methods A systematic review and meta-analysis were conducted to evaluate the effectiveness and long-term outcomes of the Cabrol procedure and its modifications. Pooling was conducted using random-effects model. Outcome events were reported as linearized occurrence rates (percentage per patient year) with 95% confidence intervals. Results A total of 14 studies involving 833 patients (mean age: 50 years; 71% male) were included in the meta-analysis. The pooled early mortality rate was 9.0% (66 patients), and the combined rate of reoperation due to bleeding was 4.9% (17 patients). During the average 4.4-year follow-up (3,727 patient-years), the annual occurrence rates (linearized) for complications were as follows: 3.63% (2.79–4.73) for late mortality, 0.64% (0.35–1.18) for aortic root reoperation, 0.57% (0.25–1.31) for hemorrhage events, 0.66% (0.16–2.74) for thromboembolism, 0.60% (0.29–1.26) for endocarditis, 2.32% (1.04–5.16) for major valve-related adverse events, and 0.58% (0.34–0.98) for Cabrol-related coronary graft complications. Conclusion This systematic review provides evidence that the outcomes of the Cabrol procedure and its modifications are acceptable in terms of mortality, reoperation, anticoagulation, valve-related complications, especially in Cabrol-related coronary graft complications. Notably, the majority of Cabrol procedures were performed in reoperation and complex cases. Furthermore, the design and anastomosis of the dacron interposition graft for coronary reimplantation, considering natural anatomy and physiological hemodynamics, may represent a promising avenue for future advancements in this field.

show abstract

“…Kourliouros et al [ 19 ] introduced the “T-fashion” modification. Meanwhile, the Cabrol procedure and its modifications have been tested and confirmed to be safe and effective [ 17 , 20 – 23 ]. It’s currently indicated when traditional button implantation is difficult, such as fragile or torn coronary ostia.…”

Section: Introductionmentioning

confidence: 99%

Cabrol procedure and its modifications: a systematic review and meta-analysis

Yang,

Zhang,

et al. 2024

J Cardiothorac Surg

View full text Add to dashboard Cite

Background The Cabrol procedure has undergone various modifications and developments since its invention. However, there is a notable gap in the literature regarding meta-analyses assessing it. Methods A systematic review and meta-analysis was conducted to evaluate the effectiveness and long-term outcomes of the Cabrol procedure and its modifications. Pooling was conducted using random effects model. Outcome events were reported as linearized occurrence rates (percentage per patient-year) with 95% confidence intervals. Results A total of 14 studies involving 833 patients (mean age: 50.8 years; 68.0% male) were included in this meta-analysis. The pooled all-cause early mortality was 9.0% (66 patients), and the combined rate of reoperation due to bleeding was 4.9% (17 patients). During the average 4.4-year follow-up (3,727.3 patient-years), the annual occurrence rates (linearized) for complications were as follows: 3.63% (2.79–4.73) for late mortality, 0.64% (0.35–1.16) for aortic root reoperation, 0.57% (0.25–1.31) for hemorrhage events, 0.66% (0.16–2.74) for thromboembolism, 0.60% (0.29–1.26) for endocarditis, 2.32% (1.04–5.16) for major valve-related adverse events, and 0.58% (0.34–1.00) for Cabrol-related coronary graft complications. Conclusion This systematic review provides evidence that the outcomes of the Cabrol procedure and its modifications are acceptable in terms of mortality, reoperation, anticoagulation, and valve-related complications, especially in Cabrol-related coronary graft complications. Notably, the majority of Cabrol procedures were performed in reoperations and complex cases. Furthermore, the design and anastomosis of the Dacron interposition graft for coronary reimplantation, considering natural anatomy and physiological hemodynamics, may promise future advancements in this field.

show abstract

Composite aortic root replacement using the classic or modified Cabrol coronary artery implantation technique

Abstract: We conclude that composite aortic root replacement with the classic or modified Cabrol technique results in a low operative mortality. However, it should be only used when a "button" technique is not feasible.

Cited by 8 publications

References 13 publications

Indirect Re-Implantation of the Left Coronary Artery During Aortic Surgery

Indirect Re-Implantation of the Left Coronary Artery During Aortic Surgery

Cabrol Procedure and Its Modifications： A Systematic Review and Meta-Analysis

Cabrol procedure and its modifications: a systematic review and meta-analysis

Contact Info

Product

Resources

About