Gastrectomy after Coronary Artery Bypass Grafting with an In Situ Right Gastroepiploic Artery

(Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, Saga, Japan)

Hiroumi Kataoka Hitoshi Ohteki Kozo Naito
Junji Yunoki Yousuke Ueno
A 73-year-old man presented with gastric adenocarcinoma 14 months after coronary artery bypass grafting with an in situ right gastroepiploic artery (RGEA) to left circumflex branch (LCx). He underwent a partial gastrectomy after successful percutaneous coronary intervention (PCI) to the occluded lesion of LCx. Though the RGEA graft was injured and sacrificed intraoperatively, gastrectomy was safely accomplished without any complication and the postoperative course was uneventful. Preoperative PCI was useful for a gastrectomy in a patient with an in situ RGEA.
@Jpn. J. Cardiovasc. Surg. 35: 106-108 (2006)