title: [Syphilitic coronary ostial obstruction and aortic regurgitation associated with advanced gastric cancer: successful 2-stage surgery].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Koga Hospital.
authors.forename: H
authors.initials: H
authors.lastname: Suda
authors.forename: K
authors.initials: K
authors.lastname: Rikitake
authors.forename: S
authors.initials: S
authors.lastname: Ohtsubo
authors.forename: M
authors.initials: M
authors.lastname: Ogata
authors.forename: H
authors.initials: H
authors.lastname: Ohteki
authors.forename: T
authors.initials: T
authors.lastname: Itoh
mesh_terms: 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*