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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2001 October;42(5):683-5

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Management of synchronous abdominal aortic aneurysm and renal carcinoma associated with duplication of the inferior vena cava

Marrocco-Trischitta M. M., Scicchitano G., Acconcia A., Stillo F.

From the Department of Vascular Surgery and Pathology Istituto Dermopatico dell’Immacolata IDI-IRCCS, Rome, Italy *Division of Urology “Villa Claudia” Clinic, Rome, Italy


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The man­age­ment of con­com­i­tant abdom­i­nal aor­tic aneu­rysm ­and ­intra-abdom­i­nal malig­nan­cies is ­still dis­put­ed; wheth­er to ­treat ­the ­lesions simul­ta­ne­ous­ly or as ­staged pro­ce­dures ­being ­the ­main con­tro­ver­sy. Abdominal aor­tic aneu­rysm asso­ciat­ed ­with ­renal car­ci­no­ma is ­rare ­and com­bined aneu­rysm ­repair ­and neph­rec­to­my ­appears to be ­the treat­ment of ­choice in select­ed ­patients. We ­report a ­case ­where ­the sur­gi­cal man­age­ment of simul­ta­ne­ous­ly occur­ring abdom­i­nal aor­tic aneu­rysm ­and ­renal car­ci­no­ma ­was com­pli­cat­ed by ­the pres­ence of a dupli­cat­ed infe­ri­or ­vena ­cava. The ratio­nale ­for ­the treat­ment of ­this ­patient ­and ­the tech­ni­cal dif­fi­cul­ties of ­the sur­gi­cal pro­ce­dure ­are dis­cussed ­and a ­review of ­the lit­er­a­ture to ­date is report­ed.

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