A Simultaneous Operative Case of Hepatocellular Carcinoma Combined with Ischemic Heart Disease

Tatsumi Iida, Hideo Itoh, Yoshifumi Katagiri, Hironori Arakawa, Tomoyuki Miyata, Satoshi Sakai, Syoushi Senga, Masatomo Hayashi, Hajime Hirose

First Department of Surgery, Gifu University School of Medicine

A case of simultaneous operation for hepatocellular cartinoma (HCC) and ischemic heart disease is reported. A 68-year-old man complained of abdominal pain. Examinations revealed a liver tumor in segment 6, 30 mm in diameter, and also revealed coronary artery stenosis and obstruction. His liver function and other labolatory data were normal, and hepatectomy was recommended for HCC based on our data. His coronary artery disease was also suitable for bypass graftings, because of the good cardiac function. Coronary artery bypass grafting (CABG) and partial hepatectomy were performed simultaneously on March 17, 1992. The patient was discharged from our hospital uneventfully on the 21st postoperative day. We conclude that simultaneous performance of hepatectomy and CABG is an effective therapeutic approach for HCC combined with ischemic heart disease.

Key words
hepatocellular carcinoma combined with ischemic heart disease, simultaneous operation

Reprint requests
Tetsumi Iida First Department of Surgery, Gifu University School of Medicine
40 Tsukasamachi, Gifu, 500 JAPAN

Accepted
February 10, 1993

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