When Cabrol is not Feasible: Neo-Pericardial-Innominate Vein Fistula “Salhab-Said Shunt” for Bleeding Control in Primary Aortic Root Surgery

Salhab KF1* and Said SM2,3

1Department of Cardiothoracic Surgery, New York University (NYU) Langone, USA
2Division of Pediatric and Adult Congenital Cardiac Surgery, Maria Fareri Children’s Hospital, USA
3Department of Surgery, Westchester Medical Center, New York Medical College, USA

^*Correspondance to: Khaled F Salhab 

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Abstract:

Cabrol in 1981, described the creation of an aorto-right atrial fistula to control oozing from the prosthetic graft that is used to replace the ascending aorta/root in a mix of aneurysmal or dissected aortic pathology. This was performed by sewing the aneurysmal native aorta around the prosthetic graft and then connecting it to the right atrium. Since then, several modifications have been done in the original Cabrol concept. We present in the current case an alternate option to the peri-graft to innominate vein/right atrial connection that could be beneficial in difficult situations where the original or Modified Cabrol version is not feasible.

Keywords:

Aortic root surgery; Cabrol shunt; Cabrol fistula; Aortic root bleeding; Perigraft-toinnominate vein fistula; Modified Cabrol

Cite the Article:

Salhab KF, Said SM. When Cabrol is not Feasible: Neo-Pericardial- Innominate Vein Fistula “Salhab-Said Shunt” for Bleeding Control in Primary Aortic Root Surgery. Ann Clin Case Rep. 2024; 9: 2563.