Korean J Thorac Cardiovasc Surg.  2007 Jan;40(1):56-59.

Simultaneous Off-pump Coronary Artery Bypass Surgery and Total Gastrectomy

• Park JO
• Ryu JW
• Seo PW

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.

Keyword

Angina; Coronary artery bypass; Gastric Neoplasms

MeSH Terms

Adenocarcinoma
Aged
Anemia
Angina, Unstable
Chest Pain
Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump*
Gastrectomy*
Hemorrhage
Humans
Male
Physical Examination
Stomach Neoplasms
Transplants