Open AccessAn acutely occluded Cabrol graft presenting as an acute coronary syndrome
Author(s) -
Joshua SchulmanMarcus,
Nicholas Cochran-Caggiano,
Mohammad ElHajjar,
Chanderdeep Singh
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229793
Subject(s) - medicine , cardiogenic shock , aortic dissection , acute coronary syndrome , thrombosis , myocardial infarction , cardiology , surgery , acute aortic syndrome , ascending aorta , coronary arteries , aorta , artery
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.