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Myocardial ischemia after Cabrol operation
Gürkan Cetin1, Ahmet Ozkara, Emin Tireli
1Department of Cardiovascular Surgery, Istanbul University Instistute of Cardiology, Istanbul, Turkey.
Asian Cardiovascular & Thoracic Annals
|May 21, 2005
Summary
Graft occlusion is a rare complication following Cabrol aortic root replacement. This case highlights the importance of considering this issue during patient follow-up after surgery for aortic dissection.
Area of Science:
- Cardiovascular Surgery
- Aortic Surgery
- Aortic Dissection
Background:
- A 33-year-old woman with a history of Cabrol-type aortic root replacement for acute aortic dissection during labor.
- Presented 27 months post-procedure with new-onset chest pain.
Observation:
- Imaging revealed stenosis at the anastomosis site.
- Coronary angiography confirmed significant narrowing.
Findings:
- Urgent coronary revascularization was successfully performed.
- Bilateral internal mammary artery grafts were utilized.
Implications:
- Graft occlusion post-Cabrol procedure, though infrequent, is a critical complication to monitor.
- This case underscores the need for vigilant surveillance in patients with prior aortic root replacement.