title: Surgical management of ascending aortic aneurysm and its complications.
abstract: Ascending aortic aneurysms involving the proximal aortic arch, arising anywhere from the aortic valve to the innominate artery, represent various problems in which open surgery is generally required. Surgical options include excision of the aortic pathology or wrapping the aneurysm shell with an aortic Dacron graft. Intervention using the latter method can lead to extravasation of blood along the suture lines resulting in continuous bleeding within the periprosthetic space. The Cabrol technique was developed as a method for decompression of postoperative leaks by the formation of a conduit system from the periprosthetic space to the right atrium. The coronary ostia are anastomosed to a second graft in an end-to-end fashion, which is then anastomosed to the ascending aortic conduit side to side. The native aorta is then sewn around the prosthesis, hereby creating a shunt to drain anastomotic leakage. This shunt reduces postsurgical risk of pseudoaneurysm formation and normally closes a few days following surgery. We discuss the case of a patient who underwent Cabrol's variation and six months later was demonstrated to have a patent shunt.
authors.affiliation: Department of Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USA.
authors.forename: Sisira
authors.identifier: 0000-0001-9004-3992
authors.initials: S
authors.lastname: Sran
authors.affiliation: Department of Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USA.
authors.forename: Manpreet
authors.initials: M
authors.lastname: Sran
authors.affiliation: NYIT-COM, Nassau University Medical Center, East Meadow, NY, USA ; New York Institute of Technology, College of Osteopathic Medicine, Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568-8000, USA.
authors.forename: Nicole
authors.identifier: 0000-0002-4369-5995
authors.initials: N
authors.lastname: Ferguson
authors.affiliation: Department of Cardiology, NuHealth, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USA.
authors.forename: Amgad N
authors.initials: AN
authors.lastname: Makaryus
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