Rerouting revascularization of the living right gastroepiploic artery graft in a patient with de novo gastric cancer.
We present a case in which a redo patient in whom advanced gastric cancer was detected after coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA), and in which re-grafting to the distal RGEA using the right internal thoracic artery (RITA) was performed. To minimize the surgical invasion before gastrectomy, we performed a thoracoscopic RITA harvest and small subxyphoid incision. A month later, distal gastrectomy was carried out and no complications occurred during the operation.
Yamamoto
Yoshitaka
Y
Division of Cardiac Surgery, Tokyo Medical University, 6-7-1 Nishi-shinjyuku, Shinjyuku-ku, Tokyo 160-0023, Japan. yamamoto@tokyo-med.ac.jp
Ushijima
Teruaki
T
Kikuchi
Yujiro
Y
Watanabe
Go
G
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005743:Gastrectomy; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000637:transplantation*; D012086:Reoperation; D012092:Replantation; D013274:Stomach Neoplasms / Q000209:etiology / Q000601:surgery*; D013906:Thoracoscopy; D020858:Tissue and Organ Harvesting / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome