Angina, an Unusual and Late Complication of the Cabrol Procedure: A Case Report and Review of the Literature

Long-term follow-up, computed tomography, and computational fluid dynamics of the Cabrol procedure

“…Although the Cabrol procedure was widely used in the 2 decades subsequent to its development, Patel and associates 18 state that ''the Cabrol procedure is now forgotten by most surgeons and almost unknown by cardiologists.'' With the known long-term issues of the Cabrol procedure, it is of utmost importance that those who become responsible for follow-up of these patients have knowledge of the particulars of the procedure, similar to other reoperative techniques of the aortic root.…”

“…With the known long-term issues of the Cabrol procedure, it is of utmost importance that those who become responsible for follow-up of these patients have knowledge of the particulars of the procedure, similar to other reoperative techniques of the aortic root. 19,20 There have already been several reported cases of successful follow-up treatments of Cabrol patients made with percutaneous, 19,20 surgical, 18 as well as combined surgical/endovascular treatments, 21 and these types of interventions are likely to become more common as the patients with previous Cabrol procedures age.…”

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

“…Although initially reported with excellent results by Cabrol himself, 7 the Cabrol technique over the years became nearly obsolete because of reports of stenosis, thrombosis, and occlusion of the interposition graft. 2,[8][9][10][11][12] In 2003, Gelsomino et al 2 reported a nonnegligible incidence of early and long-term complications and recommended against using this procedure. The classic Cabrol reimplantation technique uses one relatively long interposition graft, one end of which is anastomosed to the right and the other end to the left coronary ostium, with a further side-to-side anastomosis with the aortic graft.…”

Aortic Root Reconstruction with a New Dacron Graft Featuring Prefabricated Coronary Side Branches

“…A peak flow of 200-400 ml/min is reached in the left main coronary artery during diastole, where-with a frequent incidence of Cabrol graft-conduit thrombosis and formation of anastomotic pseudoaneurysms [2,21,22]. This could be explained by the fact that the procedure is performed as a "bail-out" in place of the modified Bentall reconstruction in more complex cases or that normal flow-dynamics of the coronary circulation are compromised within the Cabrol graft conduit [2,23]. In a long-term follow-up study of seven patients with Cabrol reconstruction, Knight these same principles.…”