Management of synchronous abdominal aortic aneurysm and renal carcinoma associated with duplication of the inferior vena cava.
The management of concomitant abdominal aortic aneurysm and intra-abdominal malignancies is still disputed; whether to treat the lesions simultaneously or as staged procedures being the main controversy. Abdominal aortic aneurysm associated with renal carcinoma is rare and combined aneurysm repair and nephrectomy appears to be the treatment of choice in selected patients. We report a case where the surgical management of simultaneously occurring abdominal aortic aneurysm and renal carcinoma was complicated by the presence of a duplicated inferior vena cava. The rationale for the treatment of this patient and the technical difficulties of the surgical procedure are discussed and a review of the literature to date is reported.
Marrocco-Trischitta
M M
MM
Department of Vascular Surgery and Pathology, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Via dei Monti de Creta 104, 00167 Rome, Italy.
Scicchitano
G
G
Acconcia
A
A
Stillo
F
F
D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D009392:Nephrectomy; D010347:Patient Care Planning; D014682:Vena Cava, Inferior / Q000002:abnormalities*