Aortic Root Reconstruction with a New Dacron Graft Featuring Prefabricated Coronary Side Branches: Lessons Learned from the Cabrol Procedure

Domenico Calcaterra; Mohammad-Ali Jazayeri; Joseph Turek; Kalpaj Parekh; Mohammad Bashir; Karam Karam; Robert Farivar

doi:10.12945/j.aorta.2017.16.023

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Aortic Root Reconstruction with a New Dacron Graft Featuring Prefabricated Coronary Side Branches: Lessons Learned from the Cabrol Procedure

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Aortic Root Reconstruction with a New Dacron Graft Featuring Prefabricated Coronary Side Branches: Lessons Learned from the Cabrol Procedure

Domenico Calcaterra, Mohammad-Ali Jazayeri, Joseph Turek, Kalpaj Parekh, Mohammad Bashir, Karam Karam and Robert Farivar

Aorta (Stamford, Conn.), Vol.5(1), pp.1-10

02/2017

DOI: 10.12945/j.aorta.2017.16.023

PMCID: PMC5570561

PMID: 28868309

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Abstract

Background: Coronary button reimplantation can represent a technical challenge of aortic root reconstruction that can be associated with significant morbidity and mortality. With the goal of simplifying coronary reimplantation and reducing the incidence of related complications, we designed a new Dacron graft with prefabricated coronary branches to minimize coronary artery mobilization and prevent the potential mechanical complications of reattachment to the body of the graft. Methods: Between June 2010 and May 2012, we implanted the graft in eight patients (six males, two females) ranging in age from 42-68 years (mean, 54 years). Six procedures were modified Bentall reconstructions, and two procedures were valve-sparing root replacements using the reimplantation technique. Results: There were no complications and no morbidity or mortality related to coronary reattachment. All patients were alive and doing well at a mean follow-up of 26 months (range, 17-38 months). At an extended mean follow-up of 42 months (range, 25-56 months), one patient died of stroke-related complications. No radiologic or clinical evidence of impairment of coronary perfusion was identified in any patient. Conclusions: The use of this new graft model may simplify the technique of root reconstruction and potentially lower the incidence of mechanical complications related to coronary button reimplantation.

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Title: Subtitle: Aortic Root Reconstruction with a New Dacron Graft Featuring Prefabricated Coronary Side Branches: Lessons Learned from the Cabrol Procedure
Creators: Domenico Calcaterra - Minneapolis Heart Institute Cardiothoracic Surgery, Abbott Northwestern Hospital, Hennepin County Medical Center, Minneapolis, Minnesota, USA
Mohammad-Ali Jazayeri - Minneapolis Heart Institute Cardiothoracic Surgery, Abbott Northwestern Hospital, Hennepin County Medical Center, Minneapolis, Minnesota, USA
Joseph Turek - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Kalpaj Parekh - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Mohammad Bashir - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Karam Karam - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Robert Farivar - Minneapolis Heart Institute Cardiothoracic Surgery, Abbott Northwestern Hospital, Hennepin County Medical Center, Minneapolis, Minnesota, USA
Resource Type: Journal article
Publication Details: Aorta (Stamford, Conn.), Vol.5(1), pp.1-10
DOI: 10.12945/j.aorta.2017.16.023
PMID: 28868309
PMCID: PMC5570561
NLM abbreviation: Aorta (Stamford)
ISSN: 2325-4637
eISSN: 2325-4637
Language: English
Date published: 02/2017
Academic Unit: Anatomy and Cell Biology; Surgery; Cardiothoracic Surgery
Record Identifier: 9984025367702771

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