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Ann Thorac Surg 1994;58:1170-1171
© 1994 The Society of Thoracic Surgeons

Articles

Gastric perforation after aortocoronary bypass grafting with the right gastroepiploic artery

Jan Witkop, MD*, Bruno R.S. Dillemans, MD, Jan G. Grandjean, MD, Johannes L. Bams, MD, Tjark Ebels, MD, PhD

Departments of Curdiothoracic Surgery and General Surgery, University Hospital Groningen, Groningen, the Netherlands

Accepted for publication February 1, 1994.

* Address reprint requests to Dr Witkop, Department of Cardiothoracic Surgery, University Hospital Croningen, Oostersingel 59, 9713 EZ Groningen, the Netherlands.

In coronary artery bypass grafting, we prefer the right gastroepipjoic artery as an adjunct to the internal mammary arteries, due to its comparable size to the mammary artery, flow, length, freedom of atherosclerosis, pharmacologic responses, and patency rate. No major gastric complications after the use of the gastroepiploic artery have been reported yet. We report gastric perforation due to excessive coagulation of side branches of the gastroepiploic artery supplying the greater curvature of the stomach.




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