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Ann Thorac Surg 1989;48:709-711
© 1989 The Society of Thoracic Surgeons

Articles

Modified Cabrol shunt for control of hemorrhage in repair of type A dissection of the aorta

Marc Blum, MD, Anthony Panos, MD, Samuel V. Lichtenstein, MD, Tomas A. Salerno, MD*

Division of Cardiovascular Surgery, St Michael's Hospital, and the University of Toronto, Toronto, Ontario, Canada

Accepted for publication April 17, 1989.

* Address reprint requests to Dr Salerno, Rm 305B, St Michael's Hospital, 30 Bond St, Toronto, Ont M5B 1W8, Canada.

A technique of modifying the Cabrol shunt using preserved bovine pericardium and a patch of autologous pericardium to deal with postoperative hemorrhage from an ascending aortic operation is described. A fistula to the right atrium was created for autotransfusion. This simple technique is very useful for dealing with the catastrophic complication of such postoperative hemorrhage.




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