Abstract
We report three cases of gastrectomy for gastric cancer occurring after coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA). Patient 1 was a 75-year-old man who underwent CABG using the RGEA and found to have advanced type 3 cancer of the gastric antrum. Distal gastrectomy removing the D2 lymph node was done after percutaneous transluminal coronary angioplasty for the right coronary artery. Patient 2 was a 70-year-old man who underwent CABG using the RGEA. Endoscopy findings indicated a type IIc tumor in the angle of the stomach. Distal gastrectomy using the RGEA was conducted to remove the D2 lymph node completely after prior redoing CABG. Patient 3 was a 59-year-old man with a history of CABG using the RGEA. He had advanced gastric cancer of the antrum and underwent D2 distal gastrectomy. The RGEA was replaced with an other graft in redoing CABG before gasterectomy. We concluded that it is reliable to treat patient with coronary intervention before gastrectomy in gastric cancer after CABG using the RGEA.
