2001
DOI: 10.1055/s-2001-16102 View full text |Buy / Rent full text
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Abstract: Bleeding after complex ascending aortic, aortic root or transverse arch surgery which is inaccessible or difficult to control may present a major problem. Here, we describe a modified Cabrol-shunt technique using complete mediastinal coverage with decompression into the innominate vein where the classical technique is not suitable. The long-term fate of the classical aortoatrial and modified mediastinal to innominate shunts has been analyzed to assess their potential complications.

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“…Although aortic root and thoracic aortic surgical techniques have continued to improve, death from postoperative hemorrhage remains at 5 to 10% [4]. The Cabrol variation is preferred when dealing with catastrophic postoperative hemorrhage [3, 5].…”
Section: Discussionmentioning
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“…Although aortic root and thoracic aortic surgical techniques have continued to improve, death from postoperative hemorrhage remains at 5 to 10% [4]. The Cabrol variation is preferred when dealing with catastrophic postoperative hemorrhage [3, 5].…”
Section: Discussionmentioning
“…Prior to tightening the sutures the space between the patch and the endocardium was sealed with BioGlue (Cryolife Inc, Kennesaw, CA) and a 25 mm Edwards porcine valve was successfully implanted. Due to persistent bleeding, a cabrol fistula was created between the contained pericardial space and the right atrium (Figure 17) [98][99][100].…”
Section: Left Thoracotomy For Emergency Repair Of LV Rupture During Mvrmentioning
“…At the end of the procedure, after the surgeon has made sure that there is no surgical bleeding from suture lines, controlling of coagulopathy has started with blood products like fresh frozen plasma, platelets, cryoprecipitate, and protamine sulfate [ 5 ]. In cases that there is intractable and uncontrollable coagulopathy, there is an interesting life-saving option that includes temporary mediastinal packing with multiple sponges around the site of bleeding especially in aortic suture lines [ 6 , 7 ] ( Figure 3 ).…”
Section: Introductionmentioning