Heart failure and severe pulmonary hypertension caused by distal detachment of the valve conduit 16 years after the Cabrol composite graft procedure.

Journal article

We report the case of a patient who underwent Cabrol composite graft procedure for ascending aorta aneurysm and aortic regurgitation. Sixteen years later he developed progressive dyspnea and a left-to-right shunt caused by distal detachment of the valve conduit with persistence of the perigraft space-right atrial fistula visualized with echocardiography. Our case shows that late manifestations of surgical complications of the Cabrol procedure may occur and transesophageal echocardiography may allow a comprehensive assessment in these patients. However, because surgical management of ascending aorta aneurysms has changed in the last decades a detailed knowledge of the surgical technique used is mandatory for adequate interpretation of transesophageal echocardiographic results.

Authors: Tosoratti, E; Dall'Armellina, E; Badano, L; Frassani, R; Mazzaro, E

• Journal: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
• Volume: 19
• Issue: 9
• Pages: 1190.e5-1190.e8
• Publication date: 2006-09-01
• DOI: 10.1016/j.echo.2006.04.025
• EISSN: 1097-6795
• ISSN: 0894-7317
• Language: English
• Keywords: Humans; Time Factors; Aortic Valve Insufficiency; Hypertension, Pulmonary; Male; Heart Failure; Heart Valve Prosthesis; Aortic Valve; Blood Vessel Prosthesis; Aged; Aortic Aneurysm