title: [Severe arrhythmia after gastrectomy in patients with history of coronary bypass graft surgery using right gastroepiploic artery].
abstract: 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.
authors.affiliation: Intensive Care Unit of University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Naruse
authors.forename: Yushi
authors.initials: Y
authors.lastname: Adachi
authors.forename: Kotaro
authors.initials: K
authors.lastname: Takada
authors.forename: Hideki
authors.initials: H
authors.lastname: Sano
authors.forename: Katsumi
authors.initials: K
authors.lastname: Suzuki
authors.forename: Yukako
authors.initials: Y
authors.lastname: Obata
authors.forename: Matsuyuki
authors.initials: M
authors.lastname: Doi
authors.forename: Shigehito
authors.initials: S
authors.lastname: Sato
mesh_terms: 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
chemical_list: D020108:Nicorandil; D004280:Dobutamine