Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Cabrol Technique Application in Off-pump Coronary Artery Bypass Grafting Using Radial Artery

인공심폐기를 이용하지 않는 관상동맥우회술 시 요골동맥을 이용한 Cabrol 술식의 응용

  • Na, Chan-Young (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Oh, Sam-Se (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kim, Soo-Cheol (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kim, Jae-Hyun (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Jo, Won-Min (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Seo, Hong-Ju (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Lee, Cheul (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Chang, Yun-Hee (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kang, Chang-Hyun (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Lim, Cheong (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Baek, Man-Jong (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Whang, Song-Wok (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Choi, In-Seok (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kim, Woong-Han (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Park, Yoon-Ock (Dept. of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Moon, Hyun-Soo (Dept. of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Park, Young-Kwang (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kim, Chong-Whan (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital)
  • 나찬영 (부천세종병원 흉부외과) ;
  • 오삼세 (부천세종병원 흉부외과) ;
  • 김수철 (부천세종병원 흉부외과) ;
  • 김재현 (부천세종병원 흉부외과) ;
  • 조원민 (부천세종병원 흉부외과) ;
  • 서홍주 (부천세종병원 흉부외과) ;
  • 이철 (부천세종병원 흉부외과) ;
  • 장윤희 (부천세종병원 흉부외과) ;
  • 강창현 (부천세종병원 흉부외과) ;
  • 임청 (부천세종병원 흉부외과) ;
  • 백만종 (부천세종병원 흉부외과) ;
  • 황성욱 (부천세종병원 흉부외과) ;
  • 최인석 (부천세종병원 흉부외과) ;
  • 김웅한 (부천세종병원 흉부외과) ;
  • 박윤옥 (한림대학교 의과대학 마취통증의학교실) ;
  • 문현수 (한림대학교 의과대학 마취통증의학교실) ;
  • 박영관 (부천세종병원 흉부외과) ;
  • 김종환 (부천세종병원 흉부외과)
  • Published : 2003.08.01
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Abstract

In off-pump coronary artery bypass grafting (CABG), multiple proximal anastomosis may increase the risk of cerebral embolism (air, debris) and aortic injury (dissection, pseudoaneurysm). Radial artery (RA) has no intraluminal valve such as saphenous vein. We applied Cabrol technique using aortic root replacement for proximal anastomosis in off-pump CABG. Cabrol technique using RA graft can reduce numbers of proximal anastomosis and reduce number of aortic manipulation in off-pump CABG. We report a Cabrol technique for proximal anastomosis in off-pump CABG with RA graft.

인공심폐기를 사용하지 않는 관상동맥우회술에서 이식편의 근위부 문합을 상행대동맥에 시행하는 경우 상행대동맥의 조작으로 인한 공기나 대동맥조직, 죽종(atheroma) 등으로 인한 색전증과 대동맥 손상으로 유발되는 대동맥박리, 가성동맥류 등의 합병증을 유발할 수 있다 대동맥근부치환술 시 양측관상동맥의 재이식 시 도관을 사용하는 Cabrol 술식을 관상동맥우회술 시 적용하였다. 요골동맥이식편은 복재정맥과 다르게 혈관 내 판막이 없다는 이점을 고려하여 근위부 문합을 상행대동맥에 평행하게(side to side) 문합하여 하나의 근위부 문합으로 요골동맥이식편의 양측으로 혈류를 공급하는 Cabrol 술식을 이용하여 근위부 문합 수를 줄일 수 있으며 상행대동맥의 조작 수를 줄여 대동맥의 외상을 줄일 수 있다고 생각한다.

Keywords

References

  1. J Thorac Cardiovasc Surg v.91 Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries Cabrol,C.;Pavie,A.;Mesnildrey,P.(et al.)