Abstract
A case of simultaneous operation for hepatocellular cartinoma (HCC) and ischemic heart disease is reported. A 68-year-old man complained of abdominal pain. Examinations revealed a liver tumor in segment 6, 30mm in diameter, and also revealed coronary artery stenosis and obstruction. His liver function and other labolatory data were normal, and hepatectomy was recommended for HCC based on our data. His coronary artery disease was also suitable for bypass graftings, because of the good cardiac function. Coronary artery bypass grafting (CABG) and partial hepatectomy were performed simultaneously on March 17, 1992. The patient was discharged from our hospital uneventfully on the 21st postoperative day. We conclude that simultaneousperformance of hepatectomy and CABG is an effective therapeutic approach for HCC combined with ischemic heartdisease.
