title: Modification of the Cabrol as a bailout procedure in complicated bicuspid valve aortopathy.
abstract: The Cabrol technique is reserved where the conventional 'button' or Bentall techniques fail to maintain a tension-free anastomosis between the coronary arteries and aortic conduit. However, the side-to-side anastomosis of the interposition graft that connects the coronary ostia with the aorta in the Cabrol, may lead to kinking or tension, and subsequent occlusion. We present a case of successful Cabrol modification in a patient with bicuspid aortopathy where the graft to the right coronary artery was anastomosed directly onto the valved conduit and the graft to the left main stem onto the previous right aortocoronary graft in a T-fashion.
authors.affiliation: Department of Cardiothoracic Surgery, St George's Hospital, and Department of Cardiovascular Sciences, Imperial College NHS Trust, Blackshaw Road, London SW17 0QT, UK. akou@doctors.org.uk
authors.forename: Antonios
authors.initials: A
authors.lastname: Kourliouros
authors.forename: Julia
authors.initials: J
authors.lastname: Grapsa
authors.forename: Petros
authors.initials: P
authors.lastname: Nihoyannopoulos
authors.forename: Thanos
authors.initials: T
authors.lastname: Athanasiou
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D001011:Aorta / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome