[Severe arrhythmia after gastrectomy in patients with history of coronary bypass graft surgery using right gastroepiploic artery].
The authors reported two cases of severe arrhythmia after gastrectomy in the patients with history of coronary bypass grafting (CABG) using the right gastroepiploic artery. The first patient was a 64-year-old man who had undergone CABG involving bypassing between the right coronary artery and the right gastroepiploic artery 5 months before. Partial gastrectomy was performed without significant complications. However, he showed severe bradycardia and low output status with anuria in the intensive care unit (ICU). The second patient was a 74-year-old man who had undergone CABG with the identical method 7 years before receiving partial gastrectomy. Although, surgery was performed with intraaortic balloon pumping for his mild heart failure, no other complication was observed during operation and ICU stay. Immediately after being moved to the ward on postoperative day 3, recurrent ventricular tachycardia occurred. Finally, the patient was implanted with an automatic defibrillator.
Naruse
Satoshi
S
Intensive Care Unit of University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.
Adachi
Yushi
Y
Takada
Kotaro
K
Sano
Hideki
H
Suzuki
Katsumi
K
Obata
Yukako
Y
Doi
Matsuyuki
M
Sato
Shigehito
S
D000368:Aged; D000758:Anesthesia; D000787:Angina Pectoris / Q000601:surgery; D001145:Arrhythmias, Cardiac / Q000628:therapy*; D001026:Coronary Artery Bypass; D017147:Defibrillators, Implantable; D004280:Dobutamine / Q000627:therapeutic use; D005743:Gastrectomy; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery; D020108:Nicorandil / Q000627:therapeutic use; D011183:Postoperative Complications / Q000628:therapy*; D012720:Severity of Illness Index; D013274:Stomach Neoplasms / Q000601:surgery; D016896:Treatment Outcome
D020108:Nicorandil; D004280:Dobutamine