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Ann Thorac Surg 1994;57:751-752
© 1994 The Society of Thoracic Surgeons

Articles

Total gastrectomy in a patient with an in situ right gastroepiploic artery graft

Louis P. Perrault, MD, Marcel J. Rhéault, MD, Michel Carrier, MD*

Department of Surgery, Montreal Heart Institute, Hotel-Dieu Hospital, and University of Montreal, Montreal, Quebec, Canada

Accepted for publication June 22, 1993.

* Address reprint requests to Dr Carrier, Department of Surgery, Montreal Heart Institute, 5000 Bclanger St East, Montreal, Que, Canada H1T 1C8.

A 60-year-old man in whom coronary artery bypass grafting was performed with an in situ right gastroepiploic artery presented with a gastric adenocarcinoma 22 months after myocardial revascularization. He underwent a total gastrectomy with preservation of the patent right gastroepiploic artery graft to the right coronary artery. Because of the difficulty of abdominal reoperations in patients with in situ right gastroepiploic artery grafts, surgeons must consider right gastroepiplcic artery free graft or alternative conduits.




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