Mitsui K, Takeuchi Y, Gomi A, Okamura Y
Department of Cardiovascular Surgery, Kantou Teishin Hospital, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Sep;42(9):1388-92.
A 74-year-old man and a 66-year-old woman were diagnosed as angina pectoris with choledocholithiasis. Combined coronary artery bypass grafting and choledocholithotomy were performed successfully in the two cases. For the prevention of cardiac complications and mediastinal infection, coronary artery bypass grafting was performed prior to choledocholithotomy. However, skin incisions were different in both cases. In the case with the biliary tract infection, both two surgical procedure were performed through a single skin incision in order to prepare the gastroepiploic artery as a graft. The combined operation is considered to be useful in selected cases with ischemic heart disease and choledocholithiasis.
一名74岁男性和一名66岁女性被诊断为心绞痛合并胆总管结石。这两例患者均成功接受了冠状动脉旁路移植术联合胆总管切开取石术。为预防心脏并发症和纵隔感染，在胆总管切开取石术前进行了冠状动脉旁路移植术。然而，两例患者的皮肤切口不同。对于合并胆道感染的病例，为了准备胃网膜动脉作为移植血管，两种手术均通过单一皮肤切口进行。对于选定的缺血性心脏病合并胆总管结石病例，联合手术被认为是有效的。
