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Eur J Cardiothorac Surg 1999;15:729-731
© 1999 Elsevier Science NL

Case report

Coronary artery bypass graft after esophagogastrectomy

Hitoshi Hirose, Atushi Amano, Shigehiko Yoshida, Akihito Takahashi

Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan

Received 18 November 1998; received in revised form 27 January 1999; accepted 2 February 1999.

Corresponding author. Shin-Tokyo Hospital, Department of Cardiovascular Surgery, 473-1 Nemoto, Matsudo City, Chiba, 271-0077, Japan. Tel.:+81-47-366-7000; fax: +81-47-366-7029; e-mail: genex@idt.net

A 71-year-old male with a history of retrosternal gastric bypass, after a resected esophageal carcinoma, developed angina pectoris due to stenosis of the left main trunk and the left anterior descending artery. The patient was treated with off-pump beating-heart coronary artery bypass approached via left thoracotomy. Two free conduits arising from the left internal mammary artery were utilized for this particular case, since the aortocoronary bypass was impossible due to the severely calcified aorta. Postoperative angiography confirmed good coronary flow and the patient has been symptom free for 6 months.

Key Words: Coronary artery disease • Malignant tumor • Esophageal disease




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Current indications for left thoracotomy in coronary revascularization and valvular procedures
Ann. Thorac. Surg., October 1, 2000; 70(4): 1366 - 1370.
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Copyright © 1999 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.