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Cabrol technique in coronary artery bypass grafting


In coronary artery bypass surgery, proximal anastomosis between the ascending aorta and an arterial or venous graft may be conducted by side-to-side maneuver (Cabrol-type).


We evaluated the long-term clinical outcome and aortocoronary graft patency of Cabrol-type proximal anastomosis in coronary artery bypass grafting (CABG).


From 2002 to 2012, 460 patients (age, 64.7 ± 8.3 years) underwent CABG using Cabrol technique. The graft configuration included the anastomosis of saphenous vein (SV) to saphenous vein (n = 266), SV to radial artery (RA) (n = 65), RA to SV (n = 108), RA to RA (n = 8), and others (n = 11) (Figure). The mean follow-up duration was 50.3 ± 32.3 months. Postoperatively, coronary computed tomography angiography (CTA) was checked in 362 patients (78.7%).


The operative mortality was 3.9%. The actuarial rate of the overall survival at 1, 5, and 10 years was 97.7% ± 0.7%, 88.6% ± 1.6%, and 70.4% ± 4.0%, respectively. The actuarial MACCE-free survival at 1, 5, and 10 years was 97.7% ± 0.7%, 89.9% ± 1.6%, and 84.2% ± 2.8%, respectively. Of 301 patients who used LITA (in situ) to LAD anastomosis, 712 grafts (mean, 2.4 grafts per patient) were used in Cabrol-type anastomosis. The 1-, 2-, 5-, and 8-year patency of graft in Cabrol-type anastomosis was 91.4% ± 1.2%, 88.8% ± 1.4%, 80.7% ± 2.2%, and 76.3% ± 3.7%, respectively.


This alternative proximal anastomosis technique in CABG demonstrated relatively comparable patency of aortocoronary graft.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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Na, CY., Kim, TS. Cabrol technique in coronary artery bypass grafting. J Cardiothorac Surg 10 (Suppl 1), A290 (2015).

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