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Percutaneous gallbladder drainage as a bridge to concomitant coronary artery bypass grafting and laparoscopic
Xian-Ming Fu1, Yuan Zhao1, Jian-Ming Li1
1Department of Cardiovascular Surgery, The Second Xiang-ya Hospital, Central South University, Changsha, Hunan, China.
Insights
A patient needing coronary artery bypass grafting (CABG) successfully underwent percutaneous gallbladder drainage for acute cholecystitis. This allowed for a staged, simultaneous CABG and laparoscopic cholecystectomy two weeks later.
Area of Science:
- Cardiovascular Surgery
- Gastrointestinal Surgery
- Interventional Cardiology
Background:
- A 74-year-old female patient presented with complex coronary artery disease requiring off-pump coronary artery bypass grafting (CABG).
- The patient developed acute severe cholecystitis, a condition necessitating urgent intervention and potentially delaying or complicating the planned cardiac surgery.
Abstract:
A 74-year-old woman with left main and three-vessel coronary artery disease was scheduled for off-pump coronary artery bypass grafting and developed acute severe cholecystitis preoperatively. Percutaneous gallbladder drainage was placed to achieve gallbladder decompression and infection control. Two weeks later, CABG and laparoscopic cholecystectomy were successfully performed at the same time.
