The Annals of Thoracic Surgery, Vol 57, 751-752, Copyright © 1994 by The Society of Thoracic Surgeons
Total gastrectomy in a patient with an in situ right gastroepiploic artery graft
LP Perrault, MJ Rheault and M Carrier
Department of Surgery, Montreal Heart Institute, Hotel-Dieu Hospital, Quebec, Canada.
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 gastroepiploic artery free graft or
alternative conduits.