Three Cases of Gastrectomy for Gastric Cancer after Coronary Artery Bypass GraftingUsing the Right Gastroepiploic Artery

Toshio Shikano, Katsumi Koshikawa, Masaru Sawazaki¹⁾, Kouzou Kiriyama, Masaki Wada²⁾, Kenji Taniguchi and Hiroyuki Suenaga

Department of Surgery and Department of Cardiovascular Surgery¹⁾ and Department of Endocrine Surgery²⁾, Komaki Municipal Hospital

We report three cases of gastrectomy for gastric cancer occurring after coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA). Patient 1 was a 75-year-old man who underwent CABG using the RGEA and found to have advanced type 3 cancer of the gastric antrum. Distal gastrectomy removing the D2 lymph node was done after percutaneous transluminal coronary angioplasty for the right coronary artery. Patient 2 was a 70-year-old man who underwent CABG using the RGEA. Endoscopy findings indicated a type IIc tumor in the angle of the stomach. Distal gastrectomy using the RGEA was conducted to remove the D2 lymph node completely after prior redoing CABG. Patient 3 was a 59-year-old man with a history of CABG using the RGEA. He had advanced gastric cancer of the antrum and underwent D2 distal gastrectomy. The RGEA was replaced with an other graft in redoing CABG before gasterectomy. We concluded that it is reliable to treat patient with coronary intervention before gastrectomy in gastric cancer after CABG using the RGEA.

Key words
right gastroepiploic artery, coronary artery bypass graft, gastric cancer

Reprint requests
Toshio Shikano Department of Surgery, Komaki Municipal Hospital
1-20 Jyoubushin, Komaki, 485-8520 JAPAN

Accepted
July 27, 2005

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