[A case of gastric perforation following coronary artery bypass operation using the right gastroepiploic artery].

The authors encountered a case of gastric perforation following coronary artery bypass operation using the gastroepiploic artery. The patient was a 65-year-old man who had repeated renal insufficiency and cardiac failure due to ischemic heart disease. Parenteral alimentation has been continued for several months. Triple coronary artery bypass was performed using bilateral internal thoracic arteries and the right gastroepiploic artery (RGEA). Abdominal pain was experienced on the 8th postoperative day, and emergency laparotomy was consequently conducted. A 2 x 3 cm gastric perforation was found on the anterior wall of the gastric body near the greater curvature. Gastrostomy led to remission on the symptom. Coronary artery bypass operation using RGEA must be avoided in case of damaged stomach.