[Syphilitic coronary ostial obstruction and aortic regurgitation associated with advanced gastric cancer: successful 2-stage surgery].
We report a case of syphilitic coronary ostial obstruction and aortic regurgitation associated with advanced gastric cancer for which subtotal curative gastrectomy and AVR with CABG was successfully performed in a two-stage operation. A 65-year-old male was admitted complaining of tarry stool and angina. A serological test for syphilis was strongly positive and angiography demonstrated a left coronary ostial obstruction accompanied by moderate aortic regurgitation. An endoscopic examination of the stomach revealed a Borrmann type II advanced gastric cancer with active bleeding. In the first stage, a subtotal gastrectomy with wide margin was performed, under hemodynamic monitoring because of the active tumoral bleeding. After the second-stage AVR, the postoperative course was uneventful.
Suda
H
H
Department of Cardiovascular Surgery, Koga Hospital.
Rikitake
K
K
Ohtsubo
S
S
Ogata
M
M
Ohteki
H
H
Itoh
T
T
D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000601:surgery*; D000368:Aged; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000601:surgery*; D005743:Gastrectomy; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery*; D013589:Syphilis, Cardiovascular / Q000150:complications / Q000601:surgery*