[Anesthetic management for gastrectomy of a patient after coronary artery bypass graft with gastroepiploic artery].
We report anesthetic management of an 80-year-old man who had received coronary artery bypass graft with the gastroepiploic artery 5 years before the present gastrectomy. Preoperative angiography did not show patency of the grafted gastroepiploic artery. He underwent partial distal gastrectomy under general anesthesia with isoflurane in oxygen-enriched air combined with epidural block. The gastroepiploic artery was severed after temporary clamping which did not produce evidence of myocardial ischemia. There was no postoperative cardiovascular event after the surgery.
Shinokuma
Tetsuya
T
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
Hirai
Takanao
T
Katori
Kiyoshi
K
Nitahara
Keiichi
K
Higa
Kazuo
K
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods*; D001026:Coronary Artery Bypass; D005743:Gastrectomy; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006801:Humans; D008297:Male; D011708:Pylorus / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery; D014654:Vascular Patency