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Updated: May 11, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

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Midterm experience with modified Cabrol procedure: safe and durable for complex aortic root replacement.

Bulat A Ziganshin1, Francois E Williams2, Maryann Tranquilli3

  • 1Aortic Institute, Yale University, New Haven, Conn; Department of Surgical Diseases 2, Kazan State Medical University, Kazan, Russia.

The Journal of Thoracic and Cardiovascular Surgery
|May 1, 2013
PubMed
Summary
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The modified Cabrol technique effectively reimplants coronary arteries during complex aortic surgery, showing good long-term survival and graft patency. This method is suitable when direct coronary artery anastomosis is challenging.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • Complex aortic dissections and aneurysms often require ascending aorta replacement.
  • Coronary reimplantation can be challenging due to anatomical variations or previous surgeries.
  • The Cabrol technique offers a method for coronary artery reimplantation when direct anastomosis is not feasible.

Purpose of the Study:

  • To evaluate the early and late outcomes of the modified Cabrol technique for coronary reimplantation.
  • To assess the durability and safety of this technique in complex composite graft replacements of the ascending aorta.

Main Methods:

  • A retrospective review of 348 patients undergoing ascending aorta replacement between 1995 and 2012.
  • Forty patients underwent coronary reimplantation using a modified Cabrol technique with a Dacron interposition graft.

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  • Follow-up included clinical assessment, computed tomographic scans, and survival data.

    • Main Results:

    • The modified Cabrol technique was used for various reasons including fixed coronary ostia, displaced arteries, and calcification.
    • Early mortality was 7.5% and late mortality was 16.2%, with no graft-related deaths.
    • Radiographic follow-up in surviving patients confirmed wide patency of the interposition graft.

    Conclusions:

    • The modified Cabrol technique demonstrates good survival rates and excellent long-term durability.
    • This technique is appropriate for coronary reimplantation when technical challenges preclude direct anastomosis to the aortic graft.