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.

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