title: Novel valved graft modification of Cabrol fistula for bleeding after aortic root surgery.
abstract: The Cabrol fistula, which shunts blood from the perigraft space to the right atrium in cases of refractory bleeding after ascending aortic replacement, is a useful technique. A drawback is the potential for troublesome venous back-bleeding into the perigraft space. We describe a modification using a valved Contegra graft, which obligates unidirectional flow and eliminates venous back-bleeding. This renders the Cabrol fistula an even more useful technique.
authors.affiliation: Yale University School of Medicine, New Haven, CT 06510, USA. john.elefteriades@yale.edu
authors.forename: John A
authors.initials: JA
authors.lastname: Elefteriades
authors.forename: Samuel
authors.initials: S
authors.lastname: Youssef
authors.forename: Laki
authors.initials: L
authors.lastname: Rousou
authors.forename: Rakan
authors.initials: R
authors.lastname: Nazer
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D019106:Postoperative Hemorrhage / Q000601:surgery*