Novel valved graft modification of Cabrol fistula for bleeding after aortic root surgery

John A Elefteriades; Samuel Youssef; Laki Rousou; Rakan Nazer

doi:10.1016/j.athoracsur.2012.05.114

Novel valved graft modification of Cabrol fistula for bleeding after aortic root surgery

Ann Thorac Surg. 2012 Nov;94(5):1741-3. doi: 10.1016/j.athoracsur.2012.05.114.

Authors

John A Elefteriades¹, Samuel Youssef, Laki Rousou, Rakan Nazer

Affiliation

¹ Yale University School of Medicine, New Haven, CT 06510, USA. john.elefteriades@yale.edu

PMID: 23098964
DOI: 10.1016/j.athoracsur.2012.05.114

Abstract

The Cabrol fistula, which shunts blood from the perigraft space to the right atrium in cases of refractory bleeding after ascending aortic replacement, is a useful technique. A drawback is the potential for troublesome venous back-bleeding into the perigraft space. We describe a modification using a valved Contegra graft, which obligates unidirectional flow and eliminates venous back-bleeding. This renders the Cabrol fistula an even more useful technique.

Publication types

Case Reports

MeSH terms

Adult
Aged, 80 and over
Aortic Valve / surgery*
Cardiac Surgical Procedures / methods
Female
Heart Valve Prosthesis*
Humans
Male
Pericardium / transplantation
Postoperative Hemorrhage / surgery*