Simultaneous Endovascular Aneurysm Repair and Distal Gastrectomy in a Patient with Concomitant Abdominal Aortic Aneurysm and Advanced Gastric Cancer

Yukihiro Matsuno; Narihiro Ishida; Yukiomi Fukumoto; Katsuya Shimabukuro; Hirofumi Takemura

doi:10.3400/avd.cr.11.00066

Case Reports

Simultaneous Endovascular Aneurysm Repair and Distal Gastrectomy in a Patient with Concomitant Abdominal Aortic Aneurysm and Advanced Gastric Cancer

Yukihiro Matsuno, Narihiro Ishida, Yukiomi Fukumoto, Katsuya Shimabukuro, Hirofumi Takemura

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Keywords: abdominal aortic aneurysm, endovascular aneurysm repair, gastric cancer

JOURNAL FREE ACCESS

2012 Volume 5 Issue 1 Pages 69-72

DOI https://doi.org/10.3400/avd.cr.11.00066

View "Advance Publication" version (January 31, 2012).

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Abstract

The optimal surgical management of patients with concomitant abdominal aortic aneurysm (AAA) and gastrointestinal malignancy remains controversial. A 79 year-old man who presented with hematemesis was found to have advanced gastric cancer concomitant with infrarenal AAA. The patient underwent simultaneous endovascular aneurysm repair (EVAR) and distal gastrectomy. The postoperative course was uneventful. The present case illustrates the clinical utility of EVAR for the high-risk patient with concomitant AAA and gastrointestinal malignancy.

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