Simultaneous Off-pump Coronary Artery Bypass Surgery and Total Gastrectomy.
- Author:
Jeong Ok PARK
1
;
Jae Wook RYU
;
Pil Won SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Korea. pwseo@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Angina;
Coronary artery bypass;
Gastric Neoplasms
- MeSH:
Adenocarcinoma;
Aged;
Anemia;
Angina, Unstable;
Chest Pain;
Coronary Artery Bypass;
Coronary Artery Bypass, Off-Pump*;
Gastrectomy*;
Hemorrhage;
Humans;
Male;
Physical Examination;
Stomach Neoplasms;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(1):56-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 65 year-old male had chest pain which was diagnosed as unstable angina needing urgent coronary artery bypass surgery. Physical examination demonstrated signs of severe anemia and hemoglobin level was 5.7 g/dL. Gastrofiberscopy showed a 4 cm sized fungating mass at the lesser curvature with active bleeding. The mass was adenocarcinoma by pathologic examination. Simultaneous coronary artery bypass surgery and total gastrectomy were planned due to bleeding of the mass. Off-pump coronary bypass grafting was done first, followed by total gastrectomy. The postoperative course was smooth. He was discharged from the hospital after 12 days and was on surveillance for 9 months. We report a rare case of simultaneous surgery for angina and gastric cancer.
