Bali Christina, Matsagas Miltiadisi, Harissis Haralampos, Lagos Nicolaos, Kappas Angelos M
Department of Anesthesiology, School of Medicine, University of Ioannina, Ioannina, Greece.
Vascular. 2006 Mar-Apr;14(2):119-22. doi: 10.2310/6670.2006.00001.
Concomitant management of synchronous abdominal aortic aneurysm (AAA) and colorectal cancer (CRC) is mandatory in cases in which both entities are life threatening for the patient. The endovascular aneurysm repair (EVAR) method can contribute toward concomitant management by offering the avoidance of an otherwise threatening vascular graft infection. We present a case of a complicating CRC and a synchronous AAA, which were successfully treated at the same hospitalization. The AAA was treated first by EVAR, and the colon resection followed 3 days later. The patient's postoperative course was uneventful. EVAR, if the standard criteria are met, could comprise an alternative and reliable solution for treating concomitant AAA and CRC even in the acute setting.
对于同时存在危及患者生命的腹主动脉瘤(AAA)和结直肠癌(CRC)的病例,必须进行同步治疗。血管内动脉瘤修复术(EVAR)通过避免潜在的威胁性血管移植物感染,有助于同步治疗。我们报告一例同时患有复杂性CRC和同步AAA的病例,该患者在同一住院期间成功接受治疗。首先通过EVAR治疗AAA,3天后进行结肠切除术。患者术后恢复顺利。如果符合标准,EVAR即使在急性情况下也可能是治疗同时存在的AAA和CRC的一种可靠替代方案。