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Updated: Aug 6, 2026
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Composite aortic root replacement using the classic or modified Cabrol coronary artery implantation technique
Miroslaw Garlicki1, K Roguski, M Puchniewicz
1Department of Cardiac Surgery, CSKMSWiA Hospital, Warsaw, Poland. miroslaw.garlicki@cskmswia.pl
Background:
We report in this study our results with composite aortic root replacement (CVR) using the classic or modified Cabrol coronary implantation technique.
Material And Methods:
From October 2001 to March 2005, 25 patients underwent aortic root replacement. In all cases, the indication for surgery was a degenerative aneurysm with a diameter of more than 6 cm. Seven patients had undergone a previous aortic operation on the ascending aorta. Mean age was 53+/-13 years and 22 patients were male. Mean Euroscore was 5.2+/-2.4. Aortic insufficiency was present in all patients. Two patients had Marfan syndrome.
Results:
The 30-day mortality was 0%. Two patients required profound hypothermic circulatory arrest. Mean aortic cross-clamp time was 91+/-24 minutes and the mean circulatory arrest time was 24+/-15 minutes. No patients developed a pseudoaneurysm after the operation.
Conclusion:
We conclude that composite aortic root replacement with the classic or modified Cabrol technique results in a low operative mortality. However, it should be only used when a "button" technique is not feasible.
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