Giant right gastroepiploic
artery pseudoaneurysm with an IVC fistula
Patients, who underwent single LIMA-LAD or LIMA-LAD plus right gastroepiploic
artery (RGEA)-posterior descending artery (PDA) anastomoses, underwent minimally invasive direct coronary artery bypass grafting (MIDCAB) through lower median mini-sternotomy.
The patient who died 1275 days after diagnosis had poorly differentiated adenocarcinoma invading SMV via the right gastroepiploic
vein and the tumor in SMV almost totally regressed after chemotherapy; this was the only patient who was responsive to chemotherapy (Figure 5).
(27,32,33) Furthermore, because most of the patients had reached adulthood by the time the second intervention was required, reoperation utilizing either the radial artery, the gastroepiploic
artery, or both, and percutaneous coronary intervention using coronary stents could be applied more safely and effectively than in children.
(2) Exploration and dissection of the pancreas: laparoscopic coagulation shears were used to dissect the gastrocolic and gastrosplenic ligaments further exposing the abdominal surface of the pancreas, and care was taken to preserve the left gastroepiploic
vessels and short gastric vessels.
From the distal third of the splenic artery took origin two left gastroepiploic
arteries (at 8 and 10 cm, respectively) which participated in the vascularization of the posterior stomach wall and the great omentum.
The gastrocolic and gastrosplenic ligaments as well as short gastric vessels and the left gastroepiploic
artery are preserved, and the blood supply to the spleen remains sufficient.
The most frequently used ducts are, in order of importance: internal thoracic artery, saphenous vein, radial artery, right gastroepiploic
artery, ulnar artery and to a lesser extent, the splenic artery and inferior epigastric artery (Elizondo-Omana et al, 2005).
Suggested collateral pathways in cases of splenic artery thrombosis include anastomosis between the right gastroepiploic
artery (from the gastroduodenal artery) and left gastroepiploic
artery (from the splenic artery) on the greater curvature of the stomach and gastric branches of the left gastric artery and short gastric arteries (9).
Kanmura, "Dual [alpha]2-adrenergic agonist and [alpha]1-adrenergic antagonist actions of dexmedetomidine on human isolated endothelium-denuded gastroepiploic
arteries," Anesthesia and Analgesia, vol.
The stomach is mobilized at the greater curvature by division of the short gastric vessels and the gastrocolic ligament under the consideration of the right gastroepiploic
Lymph node stations (Japanese Classification of Gastric Carcinoma) No Definition 1 Right paracardial LNs, including those along the 1st branch of the ascending limb of the left gastric artery 2 Left paracardial LNs, including those along the oesophagocardiac branch of the left subphrenic artery 3a Lesser curvature LNs along the branches of the left gastric artery 3b Lesser curvature LNs along the 2nd branch and distal part of the right gastric artery 4sa Left greater curvature LNs along the short gastric arteries (perigastric area) 4sb Left greater curvature LNs along the left gastroepiploic
artery (perigastric area) 4d Rt.