Angina, an unusual and late complication of the Cabrol procedure: a case report and review of the literature.

Several techniques exist for surgical reimplantation of the coronary arteries to a composite aortic graft for repair of the ascending aorta. The Cabrol graft is an attachment of a Dacron tube between the coronary arteries and the composite aortic graft in aortic root replacement. Very late presentation of myocardial ischemia related to the Cabrol conduit graft is exceedingly rare. We report a rare and late development of angina due to a dysfunctional Cabrol conduit, which was successfully cured with coronary bypass grafting. Knowledge of this technique is vital for the accurate interpretation of coronary angiograms and CT scan findings and crucial for the treatment planning in patients who have had previous implantation of the Cabrol graft.