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Hindi Case Report
Advanced Gastric Cancer Identified during Acute Myocardial Infarction: Report of a Case
Takehiro Wakasugi, Yoichi Matsuo* and Hiromitsu Takeyama
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
- *Corresponding Author:
- Yoichi Matsuo
Department of Gastroenterological Surgery
Nagoya City University, Nagoya 4678601, Japan
Tel: +81-52-853-8226
Fax: +81-52-842-3906
E-mail: matsuo@med.nagoya-cu.ac.jp
Received date: September 15, 2014; Accepted date: October 29, 2014; Published date: November 03, 2014
Citation: Wakasugi T, Matsuo Y and Takeyama H (2014) Advanced Gastric Cancer Identified during Acute Myocardial Infarction: Report of a Case. J Gastrointest Dig Syst 4:233. doi:10.4172/2161-069X.1000233
Copyright: © 2014 Wakasugi T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A 71-year-old man was admitted for acute myocardial infarction. The occluded right coronary artery was immediately reperfused by balloon angioplasty during percutaneous coronary intervention and plans were made to stent the left anterior descending artery and circumflex branch at a later date. Anti-platelet therapy was started after intervention. Ten days after intervention, the patient developed hematemesis. An advanced gastric cancer was identified as the source of the bleed. Although an urgent gastrectomy was indicated, the remaining coronary artery stenoses complicated surgical management.
The decision was made to perform the second intervention prior to gastrectomy and to treat the remaining stenoses with bare metal stents. Two months after the second intervention, a total gastrectomy was performed under general anesthesia. No severe cardiac complications occurred during the postoperative period.
