title: Treatment of a Patient with Abdominal Aortic Aneurysm and Hepatocellular Carcinoma.
abstract: BACKGROUND
  The surgical tactics in cases of abdominal aortic aneurysms (AAA) and intra-abdominal malignancy are not uniform in the literature and are still a matter of debate. In this case report, we present a patient with coexisting AAA and primary liver cancer managed by simultaneous open AAA repair and liver resection After laparotomy and intraoperative liver ultrasonography that confirmed resectability of the tumor, aneurysm repair was performed with aorto-aortic tube grafting after interrenal cross-clamping Radiofrequency-assisted liver transection was performed to complete an anterior anatomic resection of liver segments VI and VII. The postoperative course was uneventful and the patient was discharged on a postoperative day 10.
  
  
  METHODS
  This was prospective follow up of one patient.
  
  
  RESULTS
  The patient is free from disease at 18-month follow-up.
  
  
  CONCLUSIONS
  The best treatment strategy for patients with AAA and malignant disease is still not clearly defined. Strategy selection is made individually according to the risk of rupture of AAA, general condition of the patient, experience of the teams that should perform the procedure and estimated life expectancy after resection of malignant disease.
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Belgrade Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: Slobodan
authors.initials: S
authors.lastname: Cvetkovic
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Belgrade Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: Igor
authors.initials: I
authors.lastname: Koncar
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Clinic for Digestive Diseases, Serbian Clinical Centre, Belgrade, Serbia.
authors.forename: Daniel
authors.initials: D
authors.lastname: Galun
authors.affiliation: Belgrade Medical School, University of Belgrade, Belgrade, Serbia. Electronic address: ribacjelena@gmail.com.
authors.forename: Jelena
authors.initials: J
authors.lastname: Ribac
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Belgrade Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: Miroslav
authors.initials: M
authors.lastname: Markovic
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Belgrade Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: Nikola
authors.initials: N
authors.lastname: Ilic
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Belgrade Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: Marko
authors.initials: M
authors.lastname: Dragas
authors.affiliation: Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia; Belgrade Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: Lazar
authors.initials: L
authors.lastname: Davidovic
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017115:Catheter Ablation; D000072226:Computed Tomography Angiography; D018572:Disease-Free Survival; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D061330:Multidetector Computed Tomography; D013997:Time Factors; D016896:Treatment Outcome