[Combined coronary artery bypass grafting and choledocholithotomy--a report of two cases].
A 74-year-old man and a 66-year-old woman were diagnosed as angina pectoris with choledocholithiasis. Combined coronary artery bypass grafting and choledocholithotomy were performed successfully in the two cases. For the prevention of cardiac complications and mediastinal infection, coronary artery bypass grafting was performed prior to choledocholithotomy. However, skin incisions were different in both cases. In the case with the biliary tract infection, both two surgical procedure were performed through a single skin incision in order to prepare the gastroepiploic artery as a graft. The combined operation is considered to be useful in selected cases with ischemic heart disease and choledocholithiasis.
Mitsui
K
K
Department of Cardiovascular Surgery, Kantou Teishin Hospital, Tokyo, Japan.
Takeuchi
Y
Y
Gomi
A
A
Okamura
Y
Y
D000368:Aged; D000787:Angina Pectoris / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass; D005260:Female; D042882:Gallstones / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male