[Simultaneous operation of gastrectomy, cholecystectomy and coronary artery bypass grafting using right gastroepiploic artery].
We present a case who received the simultaneous surgical corrections of unstable angina, acute gastric ulcer, and cholelithiasis. A 72-year-old man was admitted to our hospital due to unstable angina. An emergency coronary angiography was performed and we found severe 2 vessels disease (RCA ostium and proximal LAD lesions). After the admission, the angina was poorly controlled and the surgical treatment had been considered. The patient developed sudden hematemesis due to the uncontrolled bleeding from gastric ulcer. Then the emergency operation was performed. Partial gastrectomy with preservation of RGEA and cholecystectomy were done followed by CABG to RCA with RGEA and to LAD with autologous saphenous vein. The postoperative course was uneventful and the patient is in good condition to date.
Department of Cardiovascular Surgery, Saga Prefectural Hospital Kohseikan, Saga, Japan.
H
H
Norita
H
H
Ohteki
K
K
Yoshitake
R
R
Hisanou
K
K
Todaka
M
M
Yamada
T
T
Yonemura
T
T
Furukawa
H
H
Ijima
D000208:Acute Disease; D000368:Aged; D000789:Angina, Unstable / Q000150:complications / Q000601:surgery; D001158:Arteries / Q000637:transplantation; D001807:Blood Vessel Prosthesis; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D001026:Coronary Artery Bypass; D005743:Gastrectomy; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000150:complications / Q000601:surgery; D013270:Stomach / Q000098:blood supply*; D013276:Stomach Ulcer / Q000150:complications / Q000601:surgery