Saito Reijiro, Motoyama Satoru, Imano Hiroshi, Okuyama Manabu, Ogawa Jun-Ichi, Yamamoto Fumio
Second Department of Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Surg Today. 2004;34(2):156-8. doi: 10.1007/s00595-003-2655-7.
We successfully performed off-pump coronary artery bypass grafting (OPCAB) with concomitant esophagectomy in a 77-year-old man with esophageal cancer and severe stenosis of the anterior descending branch of the left coronary artery. Off-pump coronary artery bypass grafting was performed via median sternotomy and esophagectomy was done via the left thoracoabdominal approach. The patient was discharged with a patent graft 8 weeks after surgery. The benefits of OPCAB include that it is less invasive and heparinization can be avoided. This case report demonstrates that simultaneous OPCAB and esophagectomy is advantageous for a selected population with surgically correctable coronary artery disease and resectable esophageal cancer.
我们成功地为一名77岁患有食管癌且左冠状动脉前降支严重狭窄的男性患者实施了非体外循环冠状动脉旁路移植术（OPCAB）并同期进行了食管切除术。非体外循环冠状动脉旁路移植术通过正中胸骨切开术进行，食管切除术通过左胸腹联合切口完成。患者术后8周带通畅的移植血管出院。非体外循环冠状动脉旁路移植术的优点包括创伤较小且可避免肝素化。本病例报告表明，对于选定的患有可手术矫正的冠状动脉疾病和可切除食管癌的人群，同期进行非体外循环冠状动脉旁路移植术和食管切除术是有益的。
