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[Simultaneous coronary artery bypass grafting and cholecystectomy: a report of three cases]
R Koike1, H Kimura, J Sugihara
1Department of Cardiovascular Surgery, Kita-Osaka Hospital.
Insights
Simultaneous coronary artery bypass grafting and cholecystectomy can be safely performed in select patients with ischemic heart disease and gallstones. This combined approach offers relief from angina and epigastric pain, proving beneficial for eligible individuals.
Area of Science:
- Cardiovascular Surgery
- Gastrointestinal Surgery
- Anesthesiology
Background:
- Increasing prevalence of ischemic heart disease (IHD) in patients undergoing non-cardiac surgery.
- Limited data on combined coronary revascularization and abdominal procedures.
- Need for effective management strategies for patients with IHD and concurrent abdominal conditions.
Observation:
- Three patients with IHD and cholecystolithiasis underwent simultaneous coronary artery bypass grafting (CABG) and cholecystectomy.
- CABG was performed first via median sternotomy with extracorporeal circulation.
- Cholecystectomy followed through a right pararectal laparotomy after chest closure.
Findings:
- Successful completion of both CABG and cholecystectomy in all three patients.
- Uneventful postoperative recovery observed.
- Complete resolution of angina and epigastric pain reported by all patients.
Implications:
- Combined CABG and cholecystectomy is a viable and beneficial option for carefully selected patients.
- This approach can effectively manage concurrent cardiac and gallbladder issues.
- Highlights the potential for integrated surgical strategies in complex patient cases.
Abstract:
The frequency of patients requiring non-cardiac surgery complicates ischemic heart disease (IHD) is increasing, however, there have been few reports of combined coronary revascularization and abdominal surgery. In this paper, we describe three patients with IHD and cholecystolithiasis in whom simultaneous coronary artery bypass grafting (CABG) and cholecystectomy was successfully performed. Initially, CABG was performed employing standard extracorporeal circulation through median sternotomy. After closure of chest, cholecystectomy was carried out through right pararectal laparotomy. Their postoperative course was uneventful. Relief of angina and freedom from epigastralgia were obtained in all patients. Combined CABG and cholecystectomy is beneficial for the selected patients.
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