Management of AAA and Late Type II in a patient with concomitant renal cell carcinoma. Report of a case and review of the literature

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Published: Nov 1, 2012
Keywords:
Aortic aneurysm, EVAR, Nephron-sparing surgery, Renal neoplasm

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Leslie Fiengo
Department of Vascular Surgery, “Sapienza” University of Rome, Rome, Italy
Federico Bucci
Department of Vascular Surgery, Center Hospitalier Sud Gironde, Langon, France
Gregorio Patrizi
Department of Vascular Surgery, “Sapienza” University of Rome, Rome, Italy
Carolina Paciotti
Department of Vascular Surgery, “Sapienza” University of Rome, Rome, Italy
Fabrizio Fanelli
Vascular and Interventional Radiology Unit, Department of Radiological Science, “Sapienza” University of Rome, Rome, Italy

Abstract

PURPOSE: Detection of cancer in patients with AAA complicates the treatment of both diseases. AAA associated with RN are rare, with an incidence of 0.1-3% representing a challenge in defining the surgical timing and approach. We discuss the rational for the treatment in patients with concomitant patologies. 


CASE REPORT: A 65 years-old man was diagnosed with both AAA and Renal Cell Carcinoma. The patient underwent first EVAR followed by renal embolization and Radical Nefrectomy. Three months later a Type II Endoleak was diagnosed and treated successfully. At 1 year follow-up the patient is disease free with complete exclusion of aneurysm sac. 


CONCLUSION: AAA can be successfully repaired in patients with renal neoplasm with great results, either simultaneously or in two stages. EVAR is a good alternative for such complex patients.

Article Details

How to Cite
Fiengo, Leslie, et al. “Management of AAA and Late Type II in a Patient With Concomitant Renal Cell Carcinoma. Report of a Case and Review of the Literature”. Annali Italiani Di Chirurgia, vol. 83, no. 6, Nov. 2012, pp. 551-4, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2300.
Issue
Vol. 83 No. 6 (2012)
Section
Case Report