Percutaneous Management of Cabrol Graft Chronic Total Occlusion: Case Report

TL;DR

A 54-year-old man with a blocked Cabrol graft was successfully treated using a minimally invasive procedure, showing this approach is possible.

Contribution

This is the first reported case of percutaneous coronary intervention for a Cabrol graft chronic total occlusion.

Findings

Percutaneous coronary intervention successfully recanalized a Cabrol graft chronic total occlusion.

Advanced CTO techniques and imaging were essential for successful treatment.

Symptoms improved after the procedure, demonstrating clinical benefit.

Abstract

Cabrol Dacron grafts are used to reimplant coronary arteries during aortic root replacement for complex aortic pathologies. Graft complications, particularly chronic total occlusions (CTO), are challenging. We present a 54-year-old man with a right coronary artery Cabrol graft CTO, treated successfully with percutaneous coronary intervention. Preprocedural imaging confirmed graft stump and right coronary artery collateral anatomy. Using advanced CTO techniques, the graft was recanalized, and symptoms improved. This is the first report of a Cabrol graft CTO percutaneous coronary intervention, demonstrating its feasibility and highlighting the importance of adjunctive imaging and need for hybrid antegrade CTO techniques.

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