1 Nov 2012Case Report
Management of AAA and Late Type II in a patient with concomitant renal cell carcinoma. Report of a case and review of the literature
Leslie Fiengo 1Federico Bucci 2Gregorio Patrizi 1Carolina Paciotti 1Fabrizio Fanelli 3
Affiliations
Article Info
1 Department of Vascular Surgery, “Sapienza” University of Rome, Rome, Italy
2 Department of Vascular Surgery, Center Hospitalier Sud Gironde, Langon, France
3 Vascular and Interventional Radiology Unit, Department of Radiological Science, “Sapienza” University of Rome, Rome, Italy
Ann. Ital. Chir., 2012, 83(6), 551-554;
Published: 1 Nov 2012
Copyright © 2012 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
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.
Keywords
- Aortic aneurysm
- EVAR
- Nephron-sparing surgery
- Renal neoplasm
