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A case of resection and reconstructive surgery for the tongue cancer after off-pump coronary artery bypass surgery

DOI
  • KIMURA Airi
    Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba
  • YAMAGATA Kenji
    Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba
  • KANNO Naomi
    Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba
  • UCHIDA Fumihiko
    Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba
  • YANAGAWA Toru
    Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba
  • BUKAWA Hiroki
    Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba

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Other Title
  • オフポンプ冠動脈バイパス手術後早期に舌癌切除再建手術を施行した1例

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Abstract

We report a case of radical surgery for tongue cancer which was performed 2 weeks after coronary artery revascularization by off-pump coronary artery bypass grafting (off-CABG). The patient was a 77-year-old man who suffered from tongue cancer (T2N2bM0), and myocardial infarction (MI) was pointed out at the preoperative ECG. Coronary angiography revealed complete occlusion in the anterior interventricular branch of the left coronary artery (#7) and right coronary artery (#1), and OMI was diagnosed. Off-CABG was carried out before the tongue cancer surgery. Two weeks after the off-CABG, we performed tracheostomy, subtotal glossectomy, modified left radical neck dissection, and reconstructive surgery with free rectus abdominis muscle flap for the tongue cancer. The clinical course after the surgery was uneventful. Although postoperative radiotherapy was performed for multiple cervical lymph node metastases with 50Gy/25Fr, the patient died from multiple lung metastases 6 months after the tongue cancer surgery.

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