Murashita T, Shiiya N, Matsui Y, Yasuda K
Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Kyobu Geka. 1996 Jul;49(7):579-82.
A 37-year-old man who had undergone modified Bentall operation in December 1986 had redo operation for ascending aortic aneurysm. Initial operation, in other institute, included aortic root replacement using composite graft and reconstruction of coronary arteries. Left coronary ostium was directly anastomosed to composite graft while a saphenous vein was grafted between composite graft and right coronary artery concomitant with closing right coronary ostium. In addition, composite graft was wrapped with native aortic wall and Cabrol trick was carried out. In December 1994, this patient required redo operation for a 90 mm size of ascending aotric aneurysm which had been used for wrapping in the initial operation. The findings at reoperation revealed patent Cabrol trick, occluded saphenous vein graft, dehiscent proximal anastomosis of saphenous vein graft and partial dehiscence of distal anastomosis of composite graft. The repairs included new saphenous vein grafting to right coronary artery and re-anastomosis of distal site of composite graft. Cabrol trick was closed and composite graft was not wrapped. His post-operative course was excellent and post-operative scintigram indicated ameriolation of inferior wall ischemia.
一名37岁男性于1986年12月接受了改良Bentall手术，此次因升主动脉瘤行再次手术。初次手术在其他机构进行，包括使用复合移植物置换主动脉根部并重建冠状动脉。左冠状动脉开口直接与复合移植物吻合，同时在复合移植物与右冠状动脉之间移植大隐静脉并封闭右冠状动脉开口。此外，复合移植物用自体主动脉壁包裹并实施了Cabrol术式。1994年12月，该患者因初次手术中用于包裹的90mm大小的升主动脉瘤而需要再次手术。再次手术时发现Cabrol术式通畅、大隐静脉移植物闭塞、大隐静脉移植物近端吻合口裂开以及复合移植物远端吻合口部分裂开。修复措施包括重新向右冠状动脉移植大隐静脉以及重新吻合复合移植物的远端部位。关闭Cabrol术式且不再包裹复合移植物。他的术后过程顺利，术后闪烁扫描显示下壁缺血改善。
