A 64 year-old male patient with annulo-annulo-aortic ectasia[AAE] due to cystic medial necrosis was successfully treated with Cabrol operation with Cabrol trick. The technique consist of implantation of a composite valve graft within the aneurysmal sac with reattachment of the coronary ostia using a separate, small tube graft and creation of a communication between the closed perigraft space and right atrium for bleeding control. The patient had a postoperative gastrointestinal bleeding but successful recovery was achieved eventually.