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Surgery Today

, Volume 41, Issue 5, pp 721–725 | Cite as

Simultaneous total gastrectomy and endovascular repair of an abdominal aortic aneurysm: Report of a case

  • Keiji Yoshinaga
  • Rintaro Yoshida
  • Atsushi Guntani
  • Takuya Matsumoto
  • Hiroshi Saeki
  • Masaru Morita
  • Yasunori Emi
  • Yoshihiro Kakeji
  • Shunichi Tsujitani
  • Yoshihiko Maehara
Case Report

Abstract

We herein present the case of a 66-year-old man with both gastric cancer and an infrarenal abdominal aneurysm. The patient’s medical history included bladder cancer, chronic renal failure, and ischemic heart disease. We performed a simultaneous endovascular aneurysm repair (EVAR) and total gastrectomy. Following the procedure, the patient remained in the intensive care unit for 3 days. Oral feeding was resumed on postoperative day 7, and the patient was discharged from the hospital on postoperative day 13 with no complications. Despite the patient’s medical problems and higher operative risk, he tolerated simultaneous EVAR and total gastrectomy, and had a good outcome after undergoing these simultaneous procedures.

Key words

Gastric cancer Abdominal aneurysm Endovascular aneurysm repair 

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References

  1. 1.
    Onohara T, Orita H, Toyohara T, Sumimoto K, Wakasugi K, Matsusaka T, et al. Long-term results and prognostic factors after repair of abdominal aortic aneurysm with concomitant malignancy. J Cardiovasc Surg 1996;37:1–6.Google Scholar
  2. 2.
    Morris HL, Da Silva AF. Co-existing abdominal aortic aneurysm and intra-abdominal malignancy: Reflections on the order of treatment. Br J Surg 1998;85:1185–1190.PubMedCrossRefGoogle Scholar
  3. 3.
    Matsumoto K, Nakamaru M, Obara H, Hayashi S, Harada H, Kitajima M, et al. Surgical strategy for abdominal aortic aneurysm with concurrent symptomatic malignancy. World J Surg 1999;23:248–251.PubMedCrossRefGoogle Scholar
  4. 4.
    Szilagyi DE, Elliott JP, Berguer R. Coincidental malignancy and abdominal aortic aneurysm: problems of management. Arch Surg 1967;95:402–412.PubMedGoogle Scholar
  5. 5.
    Nora JD, Pairolero PC, Nivatvongs S, Cherry KJ, Hallett JW, Gloviczki P. Concomitant abdominal aortic aneurysm and colorectal carcinoma: priority of resection. J Vasc Surg 1989;9:630–635.PubMedCrossRefGoogle Scholar
  6. 6.
    Komori K, Okadome K, Odashiro T, Ishii T, Itoh H, Funahashi S, et al. Simultaneous resection of abdominal aortic aneurysms and early gastric cancer by retroperitoneal and transperitoneal approach. Eur J Vasc Surg 1992;6:639–641.PubMedCrossRefGoogle Scholar
  7. 7.
    Herald JA, Young CJ, White GH, Solomon MJ. Endosurgical treatment of synchronous rectal cancer and abdominal aortic aneurysm, without laparotomy. Surgery 1998;124:932–933.PubMedCrossRefGoogle Scholar
  8. 8.
    Kiskinis D, Spanos C, Melas N, Efthimiopoulos G, Saratzis N, Lazaridis I, et al. Priority of resection in concomitant abdominal aortic aneurysm (AAA) and colorectal cancer (CRC): review of the literature and experience of our clinic. Tech Coloproctol 2004;8:S19–S21.PubMedCrossRefGoogle Scholar
  9. 9.
    Chai CY, Lin PH, Bush RL, Lumsden AB. Aortic endograft thrombosis after colorectal surgery in lithotomy position. J Vasc Surg 2004;39:1112–1114.PubMedCrossRefGoogle Scholar
  10. 10.
    Swanson RJ, Littooy FN, Hunt TK, Stoney RJ. Laparotomy as a precipitating factor in the rupture of intraabdominal aneurysms. Arch Surg 1980;115:299–304.PubMedGoogle Scholar
  11. 11.
    Durham SJ, Steed DL, Moosa HH, Makaroun MS, Webster MW. Probability of rupture of an abdominal aortic aneurysm after an unrelated operative procedure: A prospective study. J Vasc Surg 1991;13:248–252.PubMedCrossRefGoogle Scholar
  12. 12.
    Trede M, Storz LW, Ptermann C, Schiele U. Pitfalls and progress in the management of abdominal aortic aneurysms. World J Surg 1988;12:810–817.PubMedCrossRefGoogle Scholar
  13. 13.
    Hafez KS, El Fettouh HA, Novick AC, Ouriel K. Management of synchronous renal neoplasm and abdominal aortic aneurysm. J Vasc Surg 2000;32:1102–1110.PubMedCrossRefGoogle Scholar
  14. 14.
    Ginsberg DA, Modrall JG, Esrig D, Baek S, Yellin AE, Lieskovsky G, et al. Concurrent abdominal aortic aneurysm and urologic neoplasm: an argument for simultaneous intervention. Ann Vasc Surg 1995;9:428–433.PubMedCrossRefGoogle Scholar
  15. 15.
    Galt SW, McCarthy WJ, Pearce WH, Carter MF, Dalton DP, Garnett JE, et al. Simultaneous abdominal aortic aneurysm repair and nephrectomy for neoplasm. Am J Surg 1995:170:227–230.PubMedCrossRefGoogle Scholar
  16. 16.
    Tsuji Y, Watanabe Y, Ataka K, Sasada A, Okada M. Intraabdominal nonvascular operations combined with abdominal aortic aneurysm repair. World J Surg 1999;23:469–474.PubMedCrossRefGoogle Scholar
  17. 17.
    Demasi RJ, Gregory RT, Snyder SO, Gayle RG, DeMasi RJ. Coexistent abdominal aortic aneurysm and renal carcinoma: management option. Am Surg 1994;60:961–966.PubMedGoogle Scholar
  18. 18.
    Walter M, Opitz I, Muller JM. Aortic reconstruction and resection of malignant tumors: one- or two-stage procedure? Zentralbl Chir 2002;127:764–768.PubMedCrossRefGoogle Scholar
  19. 19.
    Matsumoto K, Murayama T, Nagasaki K, Osumi K, Tanaka K, Nakamaru M. One-stage surgical management of concomitant abdominal aortic aneurysm and gastric or colorectal cancer. World J Surg 2002;26:434–437.PubMedCrossRefGoogle Scholar
  20. 20.
    Gouny P, Leschi JP, Nussaume O, Cheynel-Hocquet C, Decaix B, Vayssairat M. Single-stage management of abdominal aortic aneurysm and colon carcinoma. Ann Vasc Surg 1996;10:299–305.PubMedCrossRefGoogle Scholar
  21. 21.
    Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 1994;331:1729–1734.PubMedCrossRefGoogle Scholar
  22. 22.
    Mitchell RS, Miller DC, Dake MD, Semba CP, Moore KA, Sakai T. Thoracic aortic aneurysm repair with an endovascular stent graft: “first generation”. Ann Thorac Surg 1999;67:1971–1980.PubMedCrossRefGoogle Scholar
  23. 23.
    Vogel TR, Symons R, Flum DR. The incidence and factors associated with graft infection after aortic aneurysm repair. J Vasc Surg 2008;47:264–269.PubMedCrossRefGoogle Scholar
  24. 24.
    Ishibashi H, Ishiguchi T, Ohta T, Sugimoto I, Kawanishi J, Yamada T, et al. Endovascular repair for a descending thoracic aortic aneurysm with a stent-graft covering the celiac artery: report of two cases. Surg Today 2009;39:518–522.PubMedCrossRefGoogle Scholar
  25. 25.
    Sangawa L, Aoki A. Spontaneous abdominal aortic dissection treated by endovascular stent grafting: report of a case. Surg Today 2008;38:545–547.PubMedCrossRefGoogle Scholar
  26. 26.
    Porcellini M, Nastro P, Bracale U, Brearley S, Giordano P. Endovascular versus open surgical repair of abdominal aortic aneurysm with concomitant malignancy. J Vasc Surg 2007;46:16–23.PubMedCrossRefGoogle Scholar
  27. 27.
    Borzellino G, Giovinazzo F, Minicozzi AM, Dusi R, Politi L, Veraldi GF. Concomitant pulmonary carcinoma and abdominal aortic aneurysm: therapeutic strategies. Surg Today 2008;38;512–516.PubMedCrossRefGoogle Scholar
  28. 28.
    Shalhoub J, Naughton P, Lau N, Tsang JS, Kelly CJ, Leahy AL, et al. Concurrent colorectal malignancy and abdominal aortic aneurysm: a multicentre experience and review of the literature. Eur J Vasc Endovasc Surg 2009;3:544–556.CrossRefGoogle Scholar

Copyright information

© Springer 2011

Authors and Affiliations

  • Keiji Yoshinaga
    • 1
  • Rintaro Yoshida
    • 1
  • Atsushi Guntani
    • 1
  • Takuya Matsumoto
    • 1
  • Hiroshi Saeki
    • 1
  • Masaru Morita
    • 1
  • Yasunori Emi
    • 1
  • Yoshihiro Kakeji
    • 1
  • Shunichi Tsujitani
    • 1
  • Yoshihiko Maehara
    • 1
  1. 1.Department of Surgery and Science, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan

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