Surgical strategy for advanced gastric cancer with a concomitant thoracoabdominal aortic aneurysm requiring arterial reconstruction of the visceral branches.
A 70-year-old man who presented with hematemesis was found to have advanced gastric cancer concomitant with a thoracoabdominal aortic aneurysm (TAAA), which involved all branches of the visceral arteries. The patient underwent the following staged operations: first, radical resection of the advanced gastric cancer with simultaneous reconstruction of the visceral branches, followed 1 month later by endovascular aortic replacement of the TAAA. He recovered uneventfully and was discharged without any paralytic complications or sign of graft infection.
Morimoto
Yoshikazu
Y
Department of Surgery, Osaka General Medical Center, 3-1-56, Bandaihigashi, Osaka 558-8558, Japan.
Kuratani
Toru
T
Tanaka
Yasuhiro
Y
Kaneko
Mitsunori
M
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D015897:Comorbidity; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
Eur J Vasc Surg. 1992 Nov;6(6):639-41
1451821
Surg Today. 1998;28(9):895-9
9744397
J Vasc Surg. 1994 Feb;19(2):236-46; discussion 247-8
8114185
J Vasc Surg. 1999 Feb;29(2):292-305; discussion 306-8
9950987
J Thorac Cardiovasc Surg. 2002 Sep;124(3):531-40
12202870
Circulation. 1998 Nov 10;98 (19 Suppl):II305-11; discussion II311-2
9852919
Br J Surg. 1998 Sep;85(9):1185-90
9752856
Dis Colon Rectum. 2002 Feb;45(2):165-70
11852327
J Vasc Surg. 2002 Apr;35(4):631-9
11932655