Management of synchronous abdominal aortic aneurysm and complicating colorectal cancer.
Concomitant management of synchronous abdominal aortic aneurysm (AAA) and colorectal cancer (CRC) is mandatory in cases in which both entities are life threatening for the patient. The endovascular aneurysm repair (EVAR) method can contribute toward concomitant management by offering the avoidance of an otherwise threatening vascular graft infection. We present a case of a complicating CRC and a synchronous AAA, which were successfully treated at the same hospitalization. The AAA was treated first by EVAR, and the colon resection followed 3 days later. The patient's postoperative course was uneventful. EVAR, if the standard criteria are met, could comprise an alternative and reliable solution for treating concomitant AAA and CRC even in the acute setting.
Bali
Christina
C
Department of Anesthesiology, School of Medicine, University of Ioannina, Ioannina, Greece.
Matsagas
Miltiadisi
M
Harissis
Haralampos
H
Lagos
Nicolaos
N
Kappas
Angelos M
AM
D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017073:Atherectomy; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003082:Colectomy; D003110:Colonic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D009364:Neoplasm Recurrence, Local; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed