General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 11, pp 1001–1005 | Cite as

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

  • Ting-Wei LinEmail author
  • Meng-Ta Tsai
  • Hsuan-Yin Wu
How to Do It


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.


Acute type A aortic dissection Modified Cabrol shunt Hemostasis 



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.

Compliance with ethical standards

Conflict of interest

All authors declare no conflict of interest.


  1. 1.
    Cabrol C, Pavie A, Gandjbakhch I, et al. Complete replacement of the ascending aorta with reimplantation of the coronary arteries: new surgical approach. J Thorac Cardiovasc Surg. 1981;81:209–15.Google Scholar
  2. 2.
    Hoover EL, Hsu HK, Arisan E, et al. Left-to-right shunts in control of bleeding following surgery for aneurysm of the ascending aorta. Chest. 1987;91:844–9.CrossRefGoogle Scholar
  3. 3.
    Maisano F, Lorusso R, Alfieri O. The periprosthetic sac-innominate vein shunt: an effective way to control bleeding after aortic root operations. J Thorac Cardiovasc Surg. 1995;109:396.CrossRefGoogle Scholar
  4. 4.
    Posacioglu H, Apaydin AZ, Calkavur T, Yagdi T, Islamoglu F. Perigraft to right atrial shunt by using autologous pericardium for control of bleeding in acute type A dissections. Ann Thorac Surg. 2002;74:1071–4.CrossRefGoogle Scholar
  5. 5.
    Salerno TA, Carvalho EMF, Panos AL, Ricci M. Modified Cabrol shunt after complex aortic surgery. Ann Thorac Surg. 2008;86:669–70.CrossRefGoogle Scholar
  6. 6.
    Kitamura T, Kinoshita O, Ono M. Radical surgical repair with stepwise Cabrol shunt for severe prosthetic valve endocarditis. Interact Cardiovasc Thorac Surg. 2012;14:689–91.CrossRefGoogle Scholar
  7. 7.
    Zhang H, Wu X, Fang G, Qiu Z, Chen LW. Is it justified to apply a modified Cabrol fistula in surgical repair of acute type A aortic dissection? J Thorac Cardiovasc Surg. 2019. [Epub ahead of print].CrossRefPubMedGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2019

Authors and Affiliations

  1. 1.Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of MedicineNational Cheng Kung UniversityTainan CityTaiwan
  2. 2.Division of Cardiovascular Surgery, Department of Surgery, E-DA Hospital and College of MedicineI-Shou UniversityKaohsiung CityTaiwan

Personalised recommendations