Rerouting revascularization of the living right gastroepiploic artery graft in a patient with de novo gastric cancer
Yoshitaka Yamamoto 1*,
Teruaki Ushijima 1,
Yujiro Kikuchi 1,
Go Watanabe 1
1 Tokyo Medical University, Japan
* To whom correspondence should be addressed. E-mail: yamamoto{at}tokyo-med.ac.jp.
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Abstract |
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We present a case in which a redo patient in whom advanced gastric cancer was detected after coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA), and in which re-grafting to the distal RGEA using the right internal thoracic artery (RITA) was performed. To minimize the surgical invasion before gastrectomy, we performed a thoracoscopic RITA harvest and small subxyphoid incision. A month later, distal gastrectomy was carried out and no complications occurred during the operation. Keywords: Coronary artery bypass grafting; Reoperation; Endoscopy/Endoscopic procedures