title: Modification of surgical aortoatrial shunts for inaccessible bleeding in aortic surgery -- modification of the Cabrol-shunt technique.
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.
authors.affiliation: Department of Cardiovascular Surgery, Justus-Liebig-University, Giessen, Germany. paul.vogt@chiru.med.uni-giessen.de
authors.forename: P R
authors.initials: PR
authors.lastname: Vogt
authors.forename: H
authors.initials: H
authors.lastname: Akinturk
authors.forename: D A
authors.initials: DA
authors.lastname: Bettex
authors.forename: D
authors.initials: D
authors.lastname: Schmidlin
authors.forename: M L
authors.initials: ML
authors.lastname: Lachat
authors.forename: M I
authors.initials: MI
authors.lastname: Turina
mesh_terms: 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