Combined surgical treatment of oncological patient with concomitant acute coronary syndrome with tumor lesions of the gastric stump in a multidisciplinary clinic

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Patients with various forms of coronary artery disease often suffer from other comorbid conditions that affect the quality of life and make it difficult to select the optimal therapy. The most acute problem of comorbidity manifests itself in the need for surgical treatment, especially extensive surgical interventions. The key to successful surgical treatment in this category of patients is the work of a multidisciplinary team of specialists deciding on the operability, stages of surgical interventions, choice of methods revascularization and features of patient management in the postoperative period. The article presents a case of successful surgical treatment of the patient with unstable angina and gastric stump cancer, demonstrating the well-coordinated work of a multidisciplinary team of specialists.

全文:

受限制的访问

作者简介

Badri Sigua

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913
SPIN 代码: 5571-8893

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Saint Petersburg

Igor Kochanov

North-Western State Medical University named after I.I. Mechnikov

Email: igor.kochanov@szgmu.ru
ORCID iD: 0000-0002-3499-1792
SPIN 代码: 5944-6425

MD, Cand. Sci. (Med.), Assistant Professor

俄罗斯联邦, Saint Petersburg

Svetlana Boldueva

North-Western State Medical University named after I.I. Mechnikov

Email: svetlana.boldueva@szgmu.ru
ORCID iD: 0000-0002-1898-084X
SPIN 代码: 3716-3375
Scopus 作者 ID: 6506877971

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Saint Petersburg

Elgudzha Latariya

North-Western State Medical University named after I.I. Mechnikov

Email: Elgudzha.Latariya@szgmu.ru
ORCID iD: 0000-0002-9569-8485
SPIN 代码: 7376-9672

MD, Cand. Sci. (Med.), Assistant Professor

俄罗斯联邦, Saint Petersburg

Dmitrii Gurzhiy

North-Western State Medical University named after I.I. Mechnikov

Email: Dmitrii.Gurzhii@szgmu.ru
ORCID iD: 0000-0002-4005-0403

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Natalya Trostyanetskaya

North-Western State Medical University named after I.I. Mechnikov

Email: N.Trostyanetckaya@szgmu.ru

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Evgeny Zakharov

North-Western State Medical University named after I.I. Mechnikov

编辑信件的主要联系方式.
Email: dr.zakharovea@gmail.com
ORCID iD: 0000-0002-2070-7420
SPIN 代码: 2649-1050
Researcher ID: R-9279-2016
俄罗斯联邦, Saint Petersburg

Anna Belyeva

North-Western State Medical University named after I.I. Mechnikov

Email: belyaeva-niio@yandex.ru
ORCID iD: 0000-0002-6299-2856
SPIN 代码: 8205-6112

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Natalya Tretyakova

North-Western State Medical University named after I.I. Mechnikov

Email: TretyakovaNS@list.ru
ORCID iD: 0000-0003-3844-1429
SPIN 代码: 5464-1240

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Alexey Efimov

North-Western State Medical University named after I.I. Mechnikov

Email: aespb@mail.ru
ORCID iD: 0000-0001-7586-6405
SPIN 代码: 7854-1596

MD, Cand. Sci. (Med.), Assistant Professor

俄罗斯联邦, Saint Petersburg

Maria Emilyanova

North-Western State Medical University named after I.I. Mechnikov

Email: mary.emelianowa17@gmail.com
ORCID iD: 0000-0003-0555-9332
俄罗斯联邦, Saint Petersburg

Vyacheslav Zemlyanoy

North-Western State Medical University named after I.I. Mechnikov

Email: vyacheslav.zemlyanoy@szgmu.ru
ORCID iD: 0000-0001-7368-5926

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Saint Petersburg

参考

  1. Davydov MI, Akchurin RS, Gerasimov SS, et al. Simultaneous surgery of competing cardio-vascular and malignant diseases of lungs and mediastinum. Pirogov Russian Journal of Surgery. 2010;8:4–10. (In Russ.)
  2. Davydov MI, Akchurin RS, Gerasimov SS, et al. Surgical treatment of patients with stomach cancer and severe concomitant cardio-vascular pathology. Pirogov Russian Journal of Surgery. 2013;9:4–13. (In Russ.)
  3. Hirose H, Amano A, Yoshida S, et al. Coronary artery bypass grafting in patients with malignant neoplasm. Efficacy of coronary artery bypass grafting on beating heart. Jpn J Thorac Cardiovasc Surg. 2000;48:(2):96–100. doi: 10.1007/bf03218098
  4. Ochi M, Yamada K, Fujii M, et al. Role of off-pump coronary artery bypass grafting in patients with malignant neoplastic disease. Jpn Circ J. 2000;64(1):13–17. doi: 10.1253/jcj.64.13
  5. Tsuji Y, Morimoto N, Tanaka H, et al. Surgery for gastric cancer combined with cardiac and aortic surgery. Arch Surg. 2005;140(11):1109–1114. doi: 10.1001/archsurg.140.11.1109
  6. Civelec A, Ak K, Isbir CS, et al. Simultaneous gastrectomy and off-pump coronary artery bypass grafting: a case report. Turkish J Thoracic Cardiovasc Surg. 2011;19(4):642–644. doi: 10.5606/tgkdc.dergisi.2011.104
  7. Bezdenezhnykh AV, Sumin AN, Oleinik PA, et al. Simultaneous operative intervention — coronary shunting on the working heart and gastrectomy in cancer of the antral part of the stomach. Siberian Medical Review. 2017;(3(105)):108–111. (In Russ.). doi: 10.20333/2500136-2017-3-108-111

补充文件

附件文件
动作
1. JATS XML
2. Fig. 1. Endoscopy. Exophytic tumor of the gastric stump with decay

下载 (146KB)
3. Fig. 2. Diagnostic coronary angiography. Subocclusion is visualized in the middle third of the left anterior descending artery

下载 (102KB)
4. Fig. 3. Control angiography after stent placement in the left anterior descending artery subocclusion zone

下载 (98KB)
5. Fig. 4. Gross specimen

下载 (135KB)
6. Fig. 5. X-ray of the esophagojejunoanastomosis zone. The anastomosis is passable, no contrast agent leaks have been detected

下载 (94KB)

版权所有 © Sigua B., Kochanov I., Boldueva S., Latariya E., Gurzhiy D., Trostyanetskaya N., Zakharov E., Belyeva A., Tretyakova N., Efimov A., Emilyanova M., Zemlyanoy V., 2022



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 71733 от 08.12.2017.