Yokoyama H, Satoh K, Ohmi M, Akino Y
Department of Cardiovascular Surgery, Sendai Tokusyukai Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Oct;39(10):1937-9.
A 59-year-old male with ischemic heart disease and cholecystolithiasis underwent coronary artery bypass grafting (CABG) using the right gastro-epiploic artery (GEA) and cholecystectomy simultaneously CABG was performed under standard extracorporeal circulation followed by cholecystectomy at the same incision. The opening in the dome of the diaphragm where the pedicle of GEA was brought up was closed with fibrin glue. Then, sternum was closed and cholecystectomy was performed with no elongation of the incision. The postoperative course was uneventful without mediastinitis or other infectious events. The postoperative angiography showed good patency of the GEA graft. Combined CABG using GEA and cholecystectomy is beneficial for the selected patients.
一名患有缺血性心脏病和胆囊结石的59岁男性同时接受了使用右胃网膜动脉（GEA）的冠状动脉旁路移植术（CABG）和胆囊切除术。CABG在标准体外循环下进行，随后在同一切口进行胆囊切除术。GEA蒂引出处的膈肌穹窿开口用纤维蛋白胶封闭。然后，关闭胸骨，在不延长切口的情况下进行胆囊切除术。术后过程顺利，无纵隔炎或其他感染事件。术后血管造影显示GEA移植物通畅良好。对于选定的患者，联合使用GEA进行CABG和胆囊切除术是有益的。
