Introduction: Laparoscopic cholecystectomy has become the standard procedure for acute cholecystitis.
Methods: This procedure, however, is challenging to perform in patients who have had coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA).
Results: We completed a laparoscopic cholecystectomy for acute cholecystitis without intraoperative or postoperative cardiac complications in a patient with a history of an RGEA CABG.
Conclusions: A critical factor for avoiding disruption to the graft was preoperatively delineating the vascular anatomy of the RGEA graft with a multidetector-row computed tomography (CT) with 3D-CT angiography and ultrasonography.