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Giornale Italiano di Chirurgia Vascolare 2000 December;7(4):317-25

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: English, Italian

Simultaneous treatment of abdominal aortic aneurysm and cancer of the pancreas

Raso A. M., Rispoli P., Conforti M., Robecchi A., Varetto G., Barile G.

From the Faculty of Vascular Surgery Department of Medicine and Surgery II Faculty of Surgical Medicine Turin University, Turin, Italy


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The ­case is report­ed of a ­patient in ­whom an abdom­i­nal aor­tic aneu­rysm was encoun­tered by ­pure ­chance dur­ing radio­log­i­cal exam­ina­tions for can­cer of the pan­creat­ic ­body and ­tail. Both con­di­tions ­were treat­ed simul­ta­ne­ous­ly by the implan­ta­tion of an aor­toaor­tic pros­the­sis and a dis­tal pan­crea­sec­to­my ­with the ­patient’s ­informed con­sent ­after a ­detailed dis­cus­sion of his high­ly unusu­al ­case. The ­present ­paper dis­cuss­es the sur­gi­cal ­approach ­which ­involved ­first resect­ing the aneu­rysm and ­then per­form­ing a dis­tal pan­crea­sec­to­my, the valid­ity of the indi­ca­tion to sur­gery and the eth­i­cal ­aspects of the ­case. The eth­i­cal ques­tion is wheth­er a ­patient ­with ­such a ­poor ­life expec­tan­cy giv­en the ­nature of his can­cer ­should ­have ­been sub­ject­ed to the aor­toaor­tic ­graft pro­ce­dure or wheth­er it ­would not ­have ­been ­more appro­pri­ate to oper­ate on the pan­cre­as ­alone and let the aneu­rysm ­take its ­course ­which may be pre­sumed to ­have cul­mi­nat­ed in a rup­ture fol­lowed by the ­patient's ­decease.

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