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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.
Insights
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.
Abstract:
A 33-year-old woman who had undergone a Cabrol-type aortic root replacement for acute aortic dissection during labor 27 months ago was admitted with chest pain. Electron-beam tomography and coronary angiography showed stenosis at the level of the anastomosis. Urgent coronary revascularization was performed using bilateral internal mammary artery grafts. Although graft occlusion after the Cabrol procedure is an infrequent complication, it should be considered during follow-up.
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