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“Mantle-style” modification of Cabrol shunt for hemostasis after extended aortic reconstruction in acute type A aortic dissection

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Abstract

Cabrol shunt and several of its modifications have been used as adjunctive procedures to control inaccessible bleeding occurring after aortic root surgeries. Nevertheless, the hemostatic effect of the shunt is suboptimal when the reconstructive procedure extends to the aortic arch and coronary arteries. We propose a “Mantle-style” modified Cabrol shunt to facilitate hemostasis of the exsanguination from the neo-root after aortic root replacement with concomitant arch and coronary reconstruction.

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Acknowledgements

The authors appreciate the assistance of Dr. Yi-Shan Tsai (Department of Diagnostic Radiology, National Cheng Kung University Hospital) for interpreting and reconstructing the computed tomography image.

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Authors and Affiliations

  1. Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan City, 70428, Taiwan

    Ting-Wei Lin & Meng-Ta Tsai

  2. Division of Cardiovascular Surgery, Department of Surgery, E-DA Hospital and College of Medicine, I-Shou University, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan

    Ting-Wei Lin & Hsuan-Yin Wu

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  1. Ting-Wei Lin
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  2. Meng-Ta Tsai
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  3. Hsuan-Yin Wu
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Correspondence to Ting-Wei Lin.

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Lin, TW., Tsai, MT. & Wu, HY. “Mantle-style” modification of Cabrol shunt for hemostasis after extended aortic reconstruction in acute type A aortic dissection. Gen Thorac Cardiovasc Surg 67, 1001–1005 (2019). https://doi.org/10.1007/s11748-019-01151-1

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  • DOI: https://doi.org/10.1007/s11748-019-01151-1

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