title: Evolution and current applications of the Cabrol procedure and its modifications.
abstract: Operations on the proximal aorta for aneurysms and dissections almost invariably involve the use of an aortic conduit. The optimal method for safe and effective conduit to the coronary anastomosis has been a matter for debate. Although the modified Bentall procedure with use of ostial aortic "buttons" may provide superior results and currently constitutes the standard of care for aortic root reconstruction, anatomic difficulties such as the closeness of the ostia to the aortic annulus, extreme aortic dilatation/calcification, and reoperations, may hinder the safe and tension-free conduit to the coronary anastomosis. In this technical review we examine the evolution of the Cabrol technique and its modifications, as well as its current indications and related outcomes.
authors: Department of Cardiac Surgery, St. George's Hospital, Imperial College Healthcare, London, United Kingdom. akou@doctors.org.uk
authors: Antonios
authors: A
authors: Kourliouros
authors: Manish
authors: M
authors: Soni
authors: Sonia
authors: S
authors: Rasoli
authors: Julia
authors: J
authors: Grapsa
authors: Petros
authors: P
authors: Nihoyannopoulos
authors: Declan
authors: D
authors: O'Regan
authors: Thanos
authors: T
authors: Athanasiou
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000503:physiopathology; D011859:Radiography; D018570:Risk Assessment; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000379:methods* / Q000401:mortality
chemical_list: D011138:Polytetrafluoroethylene