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Surgery Today

, 41:1531 | Cite as

Surgical resection following combination chemotherapy with oral s-1 and biweekly docetaxel in a patient with advanced gastric cancer and a prior coronary artery bypass graft with the right gastroepiploic artery: Report of a case

  • Nobuhide Kubo
  • Eiji Oki
  • Kippei Ohgaki
  • Kotaro Shibahara
  • Ichiro Imamura
  • Noriaki Sadanaga
  • Masaru Morita
  • Yoshihiro Kakeji
  • Kohei Fujita
  • Shunichi Tsujitani
  • Yoshihiko Maehara
Case Report

Abstract

Cardiothoracic surgeons commonly use the internal thoracic artery (ITA) and the right gastroepiploic artery (RGEA) when performing a coronary artery bypass graft (CABG). Although the development of CABG surgery has enabled long-term survival in patients with coronary artery disease, malignant diseases are more common in older patients. We present the case of a 75-year-old man who had previously undergone CABG with the RGEA and had later developed advanced gastric cancer. We treated this patient with two courses of combination chemotherapy using S-1 and docetaxel as induction therapy, followed by successful tumor resection. Therefore, neoadjuvant chemotherapy was effective for preserving the CABG with the RGEA in a patient with advanced gastric cancer.

Key words

Gastric cancer Coronary artery bypass grafting Gastroepiploic artery S-1 Docetaxel Neoadjuvant chemotherapy 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Nobuhide Kubo
    • 1
  • Eiji Oki
    • 1
  • Kippei Ohgaki
    • 1
  • Kotaro Shibahara
    • 1
  • Ichiro Imamura
    • 1
  • Noriaki Sadanaga
    • 1
  • Masaru Morita
    • 1
  • Yoshihiro Kakeji
    • 1
  • Kohei Fujita
    • 2
  • Shunichi Tsujitani
    • 1
  • Yoshihiko Maehara
    • 1
  1. 1.Department of Surgery and ScienceKyushu UniversityFukuokaJapan
  2. 2.Department of Anatomic Pathology, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan

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