Experiences of cabrol root replacement in management of type A aortic dissection
YU Changjiang
YANG Jue
LI Xin
FAN Ruixin
Abstract：Objective Cabrol procedure was introduced by Professor Cabrol C in 1981, but little information existed regarding the results of Cabrol technique in aortic dissection(AD). This study explored a 7-year period results of aortic root replacements in type A aortic dissection employing this procedure. Methods From January 2009 to December 2016, 47 patients with type A aortic dissection received Cabrol procedure in our hospital. All patients received echocardiography and CT scan of whole aorta before operation. Cabrol procedure was performed to repair the aortic root. The replacement of right hemi aortic arch or total aortic arch and a stented frozen elephant trunk implantation might be performed based on the extent of the dissection in the aortic arch. A retrospective analysis was performed to evaluate the effectiveness of this procedure in type A aortic dissection. Results Forty-seven cases were admitted, including 6 cases of simple Cabrol procedure, 13 cases with concomitant replacement of right hemi aortic arch and 28 cases with concomitant total aortic arch replacement and frozen elephant trunk technique.The 30-day mortality was 10.6%(5/47). 25.5%(12/47) of patients developed acute renal failure, and 12.8%(6/47) needed continuous renal replacement therapy (CRRT) during hospital time. The median hospital time were 25.5 d, ranging from 15 to 128 d.It followed-up from 6 to 36 months. Conclusion The Cabrol procedure is feasible and safe for patients with type A aortic dissection. The artificial blood vessels are unobstructed.
Keywords：aortic dissectionsurgical procedurecabrol procedure
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 245-250 )