Percutaneous Management of Cabrol Graft Chronic Total Occlusion: Case Report

Cabrol Dacron grafts are used to reimplant coronary arteries during aortic root replacement for complex aortic pathologies. Graft complications, particularly chronic total occlusions (CTO), are challenging. We present a 54-year-old man with a right coronary artery Cabrol graft CTO, treated successfully with percutaneous coronary intervention. Preprocedural imaging confirmed graft stump and right coronary artery collateral anatomy. Using advanced CTO techniques, the graft was recanalized, and symptoms improved. This is the first report of a Cabrol graft CTO percutaneous coronary intervention, demonstrating its feasibility and highlighting the importance of adjunctive imaging and need for hybrid antegrade CTO techniques.