Simultaneous esophagectomy and coronary artery bypass grafting without cardiopulmonary bypass: report of a case.
We successfully performed off-pump coronary artery bypass grafting (OPCAB) with concomitant esophagectomy in a 77-year-old man with esophageal cancer and severe stenosis of the anterior descending branch of the left coronary artery. Off-pump coronary artery bypass grafting was performed via median sternotomy and esophagectomy was done via the left thoracoabdominal approach. The patient was discharged with a patent graft 8 weeks after surgery. The benefits of OPCAB include that it is less invasive and heparinization can be avoided. This case report demonstrates that simultaneous OPCAB and esophagectomy is advantageous for a selected population with surgically correctable coronary artery disease and resectable esophageal cancer.
Saito
Reijiro
R
Second Department of Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Motoyama
Satoru
S
Imano
Hiroshi
H
Okuyama
Manabu
M
Ogawa
Jun-Ichi
J
Yamamoto
Fumio
F
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery; D016629:Esophagectomy; D006801:Humans; D008297:Male