Vol. 20 No. 2 (2016)
CASE REPORTS

Modified Cabrol shunt in surgery for Type A acute aortic dissection

S. Boldyrev
Regional Clinic Hospital No. 1, Ministry of Health Care of Russian Federation, 161 1 Maya St., 350086 Krasnodar
Bio
V. Kaleda
Regional Clinic Hospital No. 1, Ministry of Health Care of Russian Federation, 161 1 Maya St., 350086 Krasnodar
A. Trishina
Kuban State Medical University, Ministry of Health Care of Krasnodarskiy kray, 4 Sedina St., 350063 Krasnodar
Z. Tekueva
Kuban State Medical University, Ministry of Health Care of Krasnodarskiy kray, 4 Sedina St., 350063 Krasnodar
E. Dumanyan
Regional Clinic Hospital No. 1, Ministry of Health Care of Russian Federation, 161 1 Maya St., 350086 Krasnodar
A. Skopets
Regional Clinic Hospital No. 1, Ministry of Health Care of Russian Federation, 161 1 Maya St., 350086 Krasnodar
K. Barbukhatti
Regional Clinic Hospital No. 1, Ministry of Health Care of Russian Federation, 161 1 Maya St., 350086 Krasnodar; Kuban State Medical University, Ministry of Health Care of Krasnodarskiy kray, 4 Sedina St., 350063 Krasnodar
V. Porkhanov
Regional Clinic Hospital No. 1, Ministry of Health Care of Russian Federation, 161 1 Maya St., 350086 Krasnodar

Published 2016-08-17

Keywords

  • aortic dissection,
  • modified Cabrol shunt,
  • para-aortic space

How to Cite

Boldyrev, S., Kaleda, V., Trishina, A., Tekueva, Z., Dumanyan, E., Skopets, A., Barbukhatti, K., & Porkhanov, V. (2016). Modified Cabrol shunt in surgery for Type A acute aortic dissection. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 20(2), 117–119. https://doi.org/10.21688/1681-3472-2016-2-117-119

Abstract

Bleeding after surgery for acute aortic dissection in patients who receive antithrombotic therapy for incorrect diagnosis of acute coronary syndrome is a serious challenge for the surgical team. In this setting, additional control of bleeding may be achieved by using a modified Cabrol shunt. In this report we present our experience in acute Type A aortic dissection surgery.

References

  1. Blum M, Panos A, Lichtenstein SV, Salerno TA. Modified Cabrol shunt for control of hemorrhage in repair of type A dissection of the aorta. Ann Thorac Surg. 1989;48(5):709-11.
  2. Nielson DH, Sutter FP, Goldman SM. Use of venous fistula technique for intraoperative cardiac hemorrhage. J Card Surg. 1993;8(5):558-61.
  3. Maisano F, Lorusso R, Alfieri O. The periprosthetic sacinnominate vein shunt: an effective way to control bleeding after aortic root operations. J Thorac Cardiovasc Surg. 1995;109(2):396.
  4. Salerno TA, Carvalho EM, Panos AL, Ricci M. Modified Cabrol shunt after complex aortic surgery. Ann Thorac Surg. 2008;86(2):669-70. DOI: http://dx.doi.org/10.1016/j.athoracsur.2008.02.096
  5. Cabrol C, Pavie A, Gandjbakhch I, Villemot JP, Guiraudon G, Laughlin L, Etievent P, Cham B. Complete replacement of the ascending aorta with reimplantation of the coronary arteries: new surgical approach. J Thorac Cardiovasc Surg. 1981;81(2):309-15.
  6. Mehta ID, Elefteriades JA. Funnel graft to innominate vein to control epicardial bleeding. Ann Thorac Surg. 1998;66(4):1413-4.
  7. Elefteriades JA, Youssef S, Rousou L, Nazer R. Novel valved graft modification of Cabrol fistula for bleeding after aortic root surgery. Ann Thorac Surg. 2012;94(5): 1741-3. doi: http://dx.doi.org/10.1016/j.athoracsur.2012.05.114
  8. Muratov RM, Shamsiyev GA, Babenko SI, Nersesyan IL, Soboleva NN, Averina ТВ, Yemelyanovich DYe, Beridze IZ. Cabrol's procedure for making artificial paraaortic space with shunt in the presence of uncontrolled aortic root hemorrhage in a patient with active prosthetic endocarditis of the aortic valve. Grudnaya i serdechno-sosudistaya khirurgiya = Thoracic and Cardiovascular Surgery. 2003;2:63-65. (In Russ.).