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An acutely occluded Cabrol graft presenting as an acute coronary syndrome
  1. Joshua Schulman-Marcus1,
  2. Nicholas Cochran-Caggiano1,
  3. Mohammad El-Hajjar1 and
  4. Chanderdeep Singh2
  1. 1 Division of Cardiology, Albany Medical College, Albany, NY, USA
  2. 2 Division of Cardiothoracic Surgery, Albany Medical College, Albany, NY, USA
  1. Correspondence to Dr Joshua Schulman-Marcus, schulmj1{at}


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.

  • interventional cardiology
  • cardiothoracic surgery
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  • Contributors Three of the authors (JS-M, ME-H, CS) were directly involved in the patient’s care. All authors (JS-M, NC-C, ME-H, CS) were involved in the conception and design of the manuscript, drafting the article or revising it critically for important intellectual content and final approval of the version submitted.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Next of kin consent obtained.

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