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Published on November 17, 2009, doi:10.1510/icvts.2009.220061

Interactive CardioVascular and Thoracic Surgery 2010;10:348.

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Coronary

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.


   Abstract
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





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