Modified Cabrol Shunt to Treat Left Ventricular Rupture Andrew B. Goldstone, BA, Joanna Chikwe, MD, Paul Stelzer, MD The Annals of Thoracic Surgery Volume 89, Issue 1, Pages 313-314 (January 2010) DOI: 10.1016/j.athoracsur.2009.04.075 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions
Fig 1 Modified Cabrol shunt. (A) The right pericardial remnant was divided along the dotted line with care to preserve the right phrenic nerve. Suction and tonsils were introduced through a pursestring in the patch. (B) The right image shows the blood flow (arrow) from behind the inferior vena cava into the right atriotomy. (Ao = aorta; RA = right atrium; SVC = superior vena cava.) The Annals of Thoracic Surgery 2010 89, 313-314DOI: (10.1016/j.athoracsur.2009.04.075) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions
Fig 2 Postoperative transthoracic echocardiograms. (A) Subcostal view demonstrating the jet of blood entering the right atrium from the extracardiac space (white arrow). (B) A four-chamber view showing the exit point of the fistula (black arrow) below the mitral valve within the left ventricular (LV) muscle. (LA = left atrium; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2010 89, 313-314DOI: (10.1016/j.athoracsur.2009.04.075) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions