THE COEXISTENCE OF ABDOMINAL AORTIC-ANEURYSM AND ADVANCED GASTRIC-CANCER ASSOCIATED WITH RECURRENT ANGINA AFTER CORONARY-ARTERY BYPASS-GRAFTING

A 76-year-old man with abdominal aortic aneurysm (AAA) and concomitant gastric cancer, who had undergone coronary artery bypass grafting (CA BG), presented with recurrent exertional angina. Both lesions, the AAA and advanced gastric cancer, exhibited an absolute indication for urg ent surgery. Coronary revascularization with percutaneous transluminal coronary angioplasty (PTCA) was carried out successfully before abdom inal surgery. A one-stage abdominal operation was performed safely. Th e need for coronary revascularization complicates the treatment strate gy for these patients with associated coronary artery disease. PTCA is the best option, especially if the patient presents with recurrent an gina after prior CABG.