[Coronary artery bypass grafting using right gastro-epiploic artery and cholecystectomy].
A 59-year-old male with ischemic heart disease and cholecystolithiasis underwent coronary artery bypass grafting (CABG) using the right gastro-epiploic artery (GEA) and cholecystectomy simultaneously CABG was performed under standard extracorporeal circulation followed by cholecystectomy at the same incision. The opening in the dome of the diaphragm where the pedicle of GEA was brought up was closed with fibrin glue. Then, sternum was closed and cholecystectomy was performed with no elongation of the incision. The postoperative course was uneventful without mediastinitis or other infectious events. The postoperative angiography showed good patency of the GEA graft. Combined CABG using GEA and cholecystectomy is beneficial for the selected patients.
Yokoyama
H
H
Department of Cardiovascular Surgery, Sendai Tokusyukai Hospital, Japan.
Satoh
K
K
Ohmi
M
M
Akino
Y
Y
D001158:Arteries / Q000637:transplantation; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000098:blood supply*