title: A single-stage operation for abdominal aortic aneurysm with concomitant colorectal carcinoma.
abstract: The coexistence of abdominal aortic aneurysm (AAA) and colorectal carcinoma needs special operative consideration. A single-stage operation for concomitant AAA and colorectal carcinoma has been thought to increase the risk of vascular prosthetic graft infection. We report two patients who received a single-stage operation for AAA and colorectal carcinoma. The first patient had a fusiform aneurysm of the infrarenal aorta. The second patient had a saccular aneurysm of the infrarenal aorta and a fusiform aneurysm of the left internal iliac artery. Both patients had left-sided colorectal carcinoma classified as Dukes' stage B. The two patients underwent a single-stage operation with Hartmann's procedure to avoid graft infection caused by anastomotic leakage. They tolerated the operation and had no postoperative complications including graft infection. A single-stage operation for concomitant AAA and left-sided colorectal carcinoma could be safely performed with Hartmann's procedure in two cases.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Shimada
authors.forename: Masakazu
authors.initials: M
authors.lastname: Sogawa
authors.forename: Akira
authors.initials: A
authors.lastname: Okada
authors.forename: Osamu
authors.initials: O
authors.lastname: Namura
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Hayashi
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Iiai
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Okamoto
authors.forename: Takeyasu
authors.initials: T
authors.lastname: Suda
authors.forename: Katsuyoshi
authors.initials: K
authors.lastname: Hatakeyama
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D014656:Vascular Surgical Procedures / Q000379:methods