Composite aortic root replacement using the classic or modified Cabrol coronary artery implantation technique.
BACKGROUND
We report in this study our results with composite aortic root replacement (CVR) using the classic or modified Cabrol coronary implantation technique.


METHODS
From October 2001 to March 2005, 25 patients underwent aortic root replacement. In all cases, the indication for surgery was a degenerative aneurysm with a diameter of more than 6 cm. Seven patients had undergone a previous aortic operation on the ascending aorta. Mean age was 53+/-13 years and 22 patients were male. Mean Euroscore was 5.2+/-2.4. Aortic insufficiency was present in all patients. Two patients had Marfan syndrome.


RESULTS
The 30-day mortality was 0%. Two patients required profound hypothermic circulatory arrest. Mean aortic cross-clamp time was 91+/-24 minutes and the mean circulatory arrest time was 24+/-15 minutes. No patients developed a pseudoaneurysm after the operation.


CONCLUSIONS
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.
Garlicki
Miroslaw
M
Department of Cardiac Surgery, CSKMSWiA Hospital, Warsaw, Poland. miroslaw.garlicki@cskmswia.pl
Roguski
K
K
Puchniewicz
M
M
Ehrlich
Marek P
MP
D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene
D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene