The Results of using the Cabrol Technique for Aortic Root Replacement.
- Author:
Jeong Won KIM
1
;
Jong Tae LEE
;
Joon Yong CHO
;
Kyu Tae KIM
;
Gun Jik KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University College of Medicine, Korea. leejt@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Aortic root;
Annuloaortic ectasia;
Cabrol technique
- MeSH:
Aortic Aneurysm, Thoracic;
Aortic Diseases;
Cardiopulmonary Bypass;
Constriction;
Constriction, Pathologic;
Dilatation, Pathologic;
Female;
Follow-Up Studies;
Humans;
Incidence;
Male;
Survival Rate;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(5):573-579
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Composite valve graft replacement is currently the treatment of choice for a wide variety of the lesions of aortic root disease. The purpose of this study was to explore the results of aortic root replacement after using the Cabrol technique over a 13-year period at our institution, and we analyzed the results to help surgeons make better decisions when repairing aortic root disease. MATERIAL AND METHOD: Between January 1994 and December 2006, twenty-five patients underwent a Cabrol technique operation at our institution. The mean patient age was 43.7+/-14.1 years old (range: 6~65 years) and the male and female ratio was 21:4 (84%:16%). The patients' follow-up was 100% complete, and the mean follow-up period was 60.7+/-50.4 (range: 1~162) months. Annuloaortic ectasia (n=18) was the most frequent cause of aortic disease in this series, followed by aortic dissection (n=7). The mean cardiopulmonary bypass time was 177.2+/-44.9 minutes and the mean aortic cross clamping time was 123.4+/-34.1 minutes. Nine patients were checked with MDCT (Multidetector computed tomography) for evaluating a well functioning secondary graft and the coronary anastomosis site. RESULT: The early mortality rate was 4% (1 of 25 patients). A significant stenosis, kinking or occlusion of the secondary graft was detected by MDCT in 4 patients. The overall survival rate was 88%. CONCLUSION: The Cabrol technique demonstrated a significant incidence of long-term complications such as secondary graft stenosis or obstruction. It could be used when the modified Bentall technique is not feasible.
