Simultaneous Esophagectomy and Coronary Artery Bypass Grafting Without Cardiopulmonary Bypass: Report of a Case
Simultaneous Esophagectomy and Coronary Artery Bypass Grafting Without Cardiopulmonary Bypass: Report of a Case
复制标题
无体外循环的同时食管切除术和冠状动脉搭桥术：一例报告
DOI：
10.1007/s00595-003-2655-7
复制
发表时间：
2004
期刊：
影响因子：
2.5
通讯作者：
F. Yamamoto
中科院分区：
文献类型：
--
作者：
R. Saito;S. Motoyama;H. Imano;M. Okuyama;J. Ogawa;F. Yamamoto
我们成功地进行了非体外循环冠状动脉旁路移植术（OPCAB），同时食管切除术的77岁男子与食管癌和严重狭窄的前降支分支的左冠状动脉。经胸骨正中切口行非体外循环冠状动脉旁路移植术，经左胸腹入路行食管切除术。患者在术后8周出院，移植物通畅。OPCAB的优点包括创伤小，可以避免肝素化。该病例报告表明，同时OPCAB和食管切除术对于可手术矫正的冠状动脉疾病和可切除食管癌的选定人群是有利的。
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.