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 1, Federico Bucci 1, Gregorio Patrizi 1, Carolina Paciotti 1, Fabrizio Fanelli 2
Affiliations
Article Info
1 Department of Vascular Surgery, Center Hospitalier Sud Gironde, Langon, France, Department of Vascular Surgery, “Sapienza” University of Rome, Rome, Italy
2 Vascular and Interventional Radiology Unit, Department of Radiological Science, “Sapienza” University of Rome, Rome, Italy, Department of Vascular Surgery, “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.
Keywords
- Aortic aneurysm
- EVAR
- Nephron-sparing surgery
- Renal neoplasm