title: Heart failure and severe pulmonary hypertension caused by distal detachment of the valve conduit 16 years after the Cabrol composite graft procedure.
abstract: We report the case of a patient who underwent Cabrol composite graft procedure for ascending aorta aneurysm and aortic regurgitation. Sixteen years later he developed progressive dyspnea and a left-to-right shunt caused by distal detachment of the valve conduit with persistence of the perigraft space-right atrial fistula visualized with echocardiography. Our case shows that late manifestations of surgical complications of the Cabrol procedure may occur and transesophageal echocardiography may allow a comprehensive assessment in these patients. However, because surgical management of ascending aorta aneurysms has changed in the last decades a detailed knowledge of the surgical technique used is mandatory for adequate interpretation of transesophageal echocardiographic results.
authors.affiliation: Department of Cardiopulmonary Sciences, S. Maria della Misericordia Hospital, Udine, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Tosoratti
authors.forename: Erica
authors.initials: E
authors.lastname: Dall'Armellina
authors.forename: Luigi P
authors.initials: LP
authors.lastname: Badano
authors.forename: Romeo
authors.initials: R
authors.lastname: Frassani
authors.forename: Enzo
authors.initials: E
authors.lastname: Mazzaro
authors.forename: Edlira
authors.initials: E
authors.lastname: Zakja
authors.forename: Ugolino
authors.initials: U
authors.lastname: Livi
authors.forename: Paolo M
authors.initials: PM
authors.lastname: Fioretti
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging* / Q000209:etiology*; D008297:Male; D013997:Time Factors; D014463:Ultrasonography