Modification of surgical aortoatrial shunts for inaccessible bleeding in aortic surgery -- modification of the Cabrol-shunt technique.
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.
Vogt
P R
PR
Department of Cardiovascular Surgery, Justus-Liebig-University, Giessen, Germany. paul.vogt@chiru.med.uni-giessen.de
Akinturk
H
H
Bettex
D A
DA
Schmidlin
D
D
Lachat
M L
ML
Turina
M I
MI
D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery*; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D016121:Brachiocephalic Veins / Q000601:surgery; D019299:Decompression, Surgical / Q000295:instrumentation; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D010496:Pericardium / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate; D013536:Suture Techniques