| A Case of Combined
Minimally Invasive Direct Coronary Artery Bypass and Transverse
Colectomy |
(Department of Cardiovascular Surgery, Hiroshima-Asa
City Hospital, Hiroshima, Japan)
| Naomichi Uchida |
Hiroshi Ishihara |
Chikara Yamasaki |
| Makoto Hamaishi |
Mikihiro Kanoh |
|
|
An 81-year-old-woman was successfully
treated with simultaneous minimally invasive direct coronary
artery bypass (MIDCAB) and colectomy. The patient complained
of effort angina and tarry stool and had a combination of Bormann
type II transverse colon cancer with oozing bleeding and long
segmental stenosis of the left anterior descending coronary artery
(LAD). Angiography suggested that the anastomotic site on the
LAD extramusclarly presented on the tortours LAD. We therefore
carried out one-stage operation of MIDCAB and colectomy. First,
MIDCAB to the LAD using the left internal thoracic artery was
performed via left anterior thoracotomy. After closing the left
thoracic wall, we carried out transverse colectomy with lymph
node resection via upper median laparotomy. The total operation
time was 3hr 30min, 2hr 10min for MIDCAB and 1hr 20min for Colectomy
respectively. Postoperative coronary angiography showed good
patency of the LITA. The resected colon specimen showed moderately
differentiated adenocarcinoma: ss, n1, Po, Mo stage 3a. She was
discharged 15 days after the operation.
Jpn. J. Cardiovasc. Surg. 29: 110-113 (2000) |
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