Percutaneous intervention of Cabrol graft-left main anastomosis during acute myocardial infarction

Long-Term Postoperative Complication of the Cabrol Procedure Presenting as Recurrent Anterior ST-Segment Elevation Myocardial Infarction

“…Interestingly, the majority of ischemia-related complications that have been reported in the literature appear to have occurred within 5 years of the initial procedure, with the most delayed presentation occurring 12 years postoperatively, as noted by Coram et al. 7 (Table 18, 9, 10, 11, 12, 13, 14).…”

Percutaneous intervention for an occluded left Cabrol graft

“…In the present case, therefore, we selected the Synergy stent because this stent is one of contemporary DESs which have overexpansion capacity post large size balloon dilatation. Several cases of percutaneous intervention for Cabrol grafts have been reported, but the long-term outcomes have been unclear [4][5][6][7][8]. Moreover, procedural strategy, including thrombus aspiration or stent implantation, varied depending on the etiologies of the occlusive lesions.…”

An acutely occluded Cabrol graft presenting as an acute coronary syndrome

“…Occlusion of the right coronary artery is more common and may be related to non-laminar spiralling flow 1 7 9. Isolated left main occlusion is an uncommon occurrence with few published cases 1 7 10. In the setting of suspected graft occlusion and/or myocardial infarction, urgent coronary angiography is recommended.…”

“…The preferred approach to acute Cabrol graft thrombosis is reperfusion with thrombolytic therapy and/or PCI. There are a few published case reports of successful resolution of acute coronary events following timely PCI in Cabrol grafts to the right and left coronary systems 10 12–15. The success rates for such procedures and for patient survival are unknown.…”