Pancreatoduodenectomy after Coronary Artery Bypass Grafting Using the Right Gastroepiploic Artery: A Case Report

2011 ◽  
Vol 58 (109) ◽  
pp. 1137-1141 ◽  
Author(s):  
Noriaki Nakamura ◽  
Takumi Irie ◽  
Takanori Ochiai ◽  
Atsushi Kudo ◽  
Koji Itoh ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Gastroepiploic Artery ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Right Gastroepiploic Artery ◽  
The Right

scholarly journals Small saccular aneurysms in the coronary and right epigastric arteries: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110277
Author(s):  
Taira Yamamoto ◽  
Daisuke Endo ◽  
Akie Shimada ◽  
Atsushi Amano
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Internal Thoracic Artery ◽  
Artery Bypass ◽  
Gastroepiploic Artery ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Right Gastroepiploic Artery ◽  
The Right

Small saccular aneurysm in the right gastroepiploic artery is a sporadic disease accounting for approximately 0.4% of abdominal visceral aneurysms rarely observed during routine examination of other illnesses; however, it has been reported following rupture. The right gastroepiploic artery is a common alternative to the internal thoracic artery in coronary artery bypass grafting. We report a case of small aneurysms in the left anterior descending artery, diagonal branch artery, and right gastroepiploic artery and a pseudoaneurysm in right gastroepiploic artery. Coronary artery bypass grafting was performed using the left internal thoracic artery and right gastroepiploic artery, and a 5-mm aneurysm was observed in the right gastroepiploic artery. The resected 5-mm right gastroepiploic artery aneurysm was saccular. Pathological investigation revealed media loss and adventitial thinning, indicating the possibility of an aneurysm rupture. Thus, preoperative three-dimensional computed tomography is beneficial for patients with coronary arterial aneurysms and preoperative evaluation of right gastroepiploic artery to help achieve good clinical outcomes in patients undergoing coronary artery bypass grafting with another arterial aneurysm.

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