Surgical management for achalasia after coronary artery bypass graft using the right gastroepiploic artery: a case reportReport as inadecuate




Surgical management for achalasia after coronary artery bypass graft using the right gastroepiploic artery: a case report - Download this document for free, or read online. Document in PDF available to download.

Surgical Case Reports

, 3:27

First Online: 14 February 2017Received: 15 November 2016Accepted: 06 February 2017

Abstract

BackgroundThe right gastroepiploic artery is commonly used in coronary artery bypass grafting. Appropriate strategies are required when performing upper abdominal surgeries after the right gastroepiploic artery has been used in coronary artery bypass grafting because compressing or injuring the graft may cause myocardial ischemia and fatal arrhythmias. To our knowledge, this is the first reported case of surgery for achalasia performed after coronary artery bypass grafting using the right gastroepiploic artery. We have discussed the surgical procedure and particular intraoperative considerations.

Case presentationA 62-year-old man who had undergone coronary artery bypass grafting using the right gastroepiploic artery presented with achalasia. Because medication and balloon dilation had been ineffective and he was having difficulty ingesting food, we performed a Heller–Dor procedure via laparotomy. The right gastroepiploic artery was not damaged during this surgery, and there were no perioperative cardiovascular complications. Adequate control of symptoms was achieved.

ConclusionsWhen performing upper abdominal surgeries after coronary artery bypass grafting with the right gastroepiploic artery, it is necessary to investigate the patient carefully preoperatively and adapt the intraoperative procedure to minimize risk of injury to the graft and consequent cardiovascular complications.

KeywordsAchalasia Coronary artery bypass graft Right gastroepiploic artery AbbreviationsCABGCoronary artery bypass graft

CTComputed tomography

GISGastrointestinal endoscopy

RGEARight gastroepiploic artery

Download fulltext PDF



Author: Ryo Muranushi - Tatsuya Miyazaki - Hideyuki Saito - Kengo Kuriyama - Tomonori Yoshida - Yuji Kumakura - Hiroaki Honjyo - Ta

Source: https://link.springer.com/article/10.1186/s40792-017-0300-8







Related documents