A Case of Concomitant Coronary Artery Disease, Abdominal Aortic Aneurysm, and Bile Duct Cancer
10.4326/jjcvs.36.92
- VernacularTitle:胆管癌，腹部大動脈瘤，冠動脈病変が合併した１症例
- Author:
Soichi Shioguchi
;
Yoshihito Irie
;
Shigeyoshi Gon
;
Koyu Tanaka
;
Takao Imazeki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2007;36(2):92-95
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of concomitant coronary artery disease, abdominal aortic aneurysm, and bile duct cancer. A 65-year-old man, who had been recognized to have jaundice in late November 2005, was found to have bile duct cancer, an abdominal aortic aneurysm with a diameter of 70mm, and coronary artery disease (with two severely diseased branches). To avoid extended operation, a two-stage operation was performed; at the first operation, off-pump coronary artery bypass surgery (LITA to LAD and Ao-SVG to 4 PD) and replacement of the abdominal aortic aneurysm by an artificial blood vessel with minimal incision were implemented. In 21 days after the cardiovascular surgery, the patient underwent pylorus-preserving pancreatoduodenectomy (modified Child method) in the second operation. After the two-stage operation, the patient showed a favorable outcome without any major complications. On the basis of the outcome of two-stage operation we successfully applied, we discuss the strategy for treatment of patients having both cardiovascular and abdominal malignant diseases, with reference to the literature.
