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[Simultaneous operation of emergency coronary artery bypass grafting and gastrotomy with suturing ulcer]
M Kohyama1, H Ishihara, T Nakao
1Department of Cardiovascular Surgery, Hiroshima City Asa General Hospital, Japan.
Insights
This case study highlights a successful emergency surgical intervention for a patient with acute myocardial infarction and severe triple vessel disease who developed sudden gastric bleeding. The combined approach ensured patient survival and recovery.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Gastroenterology
Background:
- A 62-year-old male presented with severe chest pain, diagnosed with acute myocardial infarction.
- The patient had severe triple vessel disease, necessitating emergency coronary artery bypass grafting (CABG).
Abstract:
A 62-year-old man with complaints of severe chest pain came to our hospital. An emergency coronary angiography was performed and he was diagnosed as having acute myocardial infarction. Due to severe triple vessels disease he was referred to the department of Cardiovascular Surgery to undergo emergency coronary artery bypass grafting. In the coronary care unit, sudden hematoemesis due to hemorrhagic gastric ulcer occurred, however, just when he was going to be transferred to the operation room. Because the gastric bleeding was thought to be serious under extracorporeal circulation, which was indispensable for coronary artery bypass grafting, gastrotomy with suturing ulcer was performed prior to median sternotomy with use of intraaortic balloon pumping. Severe infection was not complicated. His postoperative course was uneventful.