Schulman-Marcus Joshua, Cochran-Caggiano Nicholas, El-Hajjar Mohammad, Singh Chanderdeep
Division of Cardiology, Albany Medical College, Albany, NY, USA.
Division of Cardiothoracic Surgery, Albany Medical College, Albany, NY, USA.
BMJ Case Rep. 2019 Jul 23;12(7):e229793. doi: 10.1136/bcr-2019-229793.
The Cabrol technique employs a synthetic graft to connect the coronary arteries to an aortic graft in patients with complex disease of the ascending aorta. Acute Cabrol graft thrombosis is a life-threatening situation that presents as acute coronary syndrome, as it leads to acute coronary hypoperfusion. We present a patient with unstable anginal symptoms who had undergone aortic surgery 6 months prior to presentation. Cardiac catheterisation was concerning for aortic dissection yet was later revealed to be acute occlusion of a Cabrol graft. The patient ultimately died of cardiogenic shock. We review the Cabrol technique, complications and management of acute graft thrombosis.
卡布罗尔技术采用人工血管将冠状动脉与升主动脉复杂病变患者的主动脉人工血管相连。卡布罗尔人工血管急性血栓形成是一种危及生命的情况，表现为急性冠状动脉综合征，因为它会导致急性冠状动脉灌注不足。我们报告一例出现不稳定型心绞痛症状的患者，该患者在就诊前6个月接受了主动脉手术。心脏导管检查提示主动脉夹层，但后来发现是卡布罗尔人工血管急性闭塞。该患者最终死于心源性休克。我们回顾了卡布罗尔技术、急性人工血管血栓形成的并发症及处理。
