The coexistence of abdominal aortic aneurysm and advanced gastric cancer associated with recurrent angina after coronary artery bypass grafting.
A 76-year-old man with abdominal aortic aneurysm (AAA) and concomitant gastric cancer, who had undergone coronary artery bypass grafting (CABG), presented with recurrent exertional angina. Both lesions, the AAA and advanced gastric cancer, exhibited an absolute indication for urgent surgery. Coronary revascularization with percutaneous transluminal coronary angioplasty (PTCA) was carried out successfully before abdominal surgery. A one-stage abdominal operation was performed safely. The need for coronary revascularization complicates the treatment strategy for these patients with associated coronary artery disease. PTCA is the best option, especially if the patient presents with recurrent angina after prior CABG.
Yasuda
H
H
Department of Cardiovascular Surgery, Osaka Medical Center for Cancer and Cardiovascular Disease, Japan.
Hiraishi
T
T
Katoh
O
O
Kobayashi
T
T
D000368:Aged; D000787:Angina Pectoris / Q000150:complications*; D015906:Angioplasty, Balloon, Coronary; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D012008:Recurrence; D013274:Stomach Neoplasms / Q000150:complications*; D014057:Tomography, X-Ray Computed