Evolution and Current Applications of the Cabrol Procedure and Its Modifications Antonios Kourliouros, PhD, MRCS, Manish Soni, MD, MRCS, Sonia Rasoli,

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Presentation transcript:

Evolution and Current Applications of the Cabrol Procedure and Its Modifications Antonios Kourliouros, PhD, MRCS, Manish Soni, MD, MRCS, Sonia Rasoli, MD, Julia Grapsa, MD, Petros Nihoyannopoulos, MD, FRCP, Declan O'Regan, PhD, FRCR, Thanos Athanasiou, PhD, FECTS The Annals of Thoracic Surgery Volume 91, Issue 5, Pages 1636-1641 (May 2011) DOI: 10.1016/j.athoracsur.2011.01.061 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Modification of the original Cabrol procedure with full mobilization of the coronary ostia. The Annals of Thoracic Surgery 2011 91, 1636-1641DOI: (10.1016/j.athoracsur.2011.01.061) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Additional modifications of the Cabrol include (A) direct implantation of short separate grafts from each coronary artery onto the composite aortic graft; (B) similar to (A) but with direct anastomosis of the longer left tubular graft to the medial aspect of the aortic conduit; (C) the graft to the right coronary artery is anastomosed directly onto the valved conduit, and the graft to the left main stem is anastomosed onto the previous aortocoronary graft in a T-fashion; and (D) two 10-mm polyester grafts are developed that connect each coronary ostium to the composite graft above the level of the already raised valve prosthesis. The Annals of Thoracic Surgery 2011 91, 1636-1641DOI: (10.1016/j.athoracsur.2011.01.061) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions