Abstract
Our patient was a 65-year-old man who had been treated with hemodialysis for renal failure due to a cystic kidney for the previous 17 years. CT scanning showed a cystic tumor 30mm in diameter at the pancreatic head. The tumor had been growing for 5 years and the cytology of pancreatic juice revealed Class 3. He was given a diagnosis of intraductal papillary mucinous neoplasm (IPMN) and pancreaticoduodenectomy was scheduled. Since the patient suffered from aortic valve stenosis, we performed aortic valve replacement with a bioprosthetic artificial valve before pancreatic resection. The pancreatoduodenectomy was performed 75 days after heart surgery. Histopathological findings revealed a noninvasive intraductal papillary mucinous carcinoma. Hemodialysis was resumed on the second day after surgery and the postoperative course was uneventful, with no evidence of recurrence after 26 months.
