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Kaya Süzer
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Eur J Cardiothorac Surg 2004;25:284-285
© 2004 Elsevier Science NL


Images in cardio-thoracic surgery

Occlusion and stenosis of coronary perfusion graft after reconstruction of ascending aorta with the cabrol technique

Gürkan Çetin*, Emin Tireli, Ahmet Özkara, Kaya Süzer

Istanbul University Institute of Cardiology, Department of Cardiovascular Surgery, öz sitesi 5/C blok Daire 4, Üsküdar, Istanbul, Turkey

Received 25 August 2003; received in revised form 17 October 2003; accepted 31 October 2003.

* Corresponding author. Tel.: +90-212-459-20-41; fax: +90-459-20-69
e-mail: gurkan{at}istanbul.edu.tr

Key Words: Cabrol • Coronary occlusion • Electron beam tomography

A 33-year-old woman was admitted to our hospital with chest pain. She had an urgent cabrol-type aortic root replacement for acute aortic dissection during labour 27 months before. Electron beam angiography showed a stenosis at the level of the anastomosis (Fig. 1) . Coronary angiography confirmed the diagnosis (Fig. 2) .



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Fig. 1. Electron beam angiogram showing a stenosis at the level of anastomosis of the PTFE graft and the native left main coronary artery.

 


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Fig. 2. Selective injection in coronary perfusion graft showing critical stenosis at the level of graft-to-left main coronary artery anastomosis.

 




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Ahmet Özkara
Kaya Süzer
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