Management of AAA and late Type II EL in a patient with concomitant renal cell carcinoma. Report of a case and review of the literature

• Published in: Annali italiani di chirurgia Vol. 83; no. 6; p. 551
• Main Authors: Fiengo, Leslie, Bucci, Federico, Patrizi, Gregorio, Paciotti, Carolina, Fanelli, Fabrizio
• Format: Journal Article
• Language: English
• Published: Italy 01-11-2012
• Subjects: Aged; Aortic Aneurysm, Abdominal - complications; Carcinoma, Renal Cell - complications; Endoleak - complications; Humans; Kidney Neoplasms - complications; Male; Time Factors
• ISSN: 0003-469X

Detection of cancer in patients with AAA complicates the treatment of both diseases. AAA associated with RN are rare, with an incidence of 0.1-3% representing a challenge in defining the surgical timing and approach. We discuss the rational for the treatment in patients with concomitant patologies.
A 65 years-old man was diagnosed with both AAA and Renal Cell Carcinoma. The patient underwent first EVAR followed by renal embolization and Radical Nefrectomy. Three months later a Type II Endoleak was diagnosed and treated successfully. At 1 year follow-up the patient is disease free with complete exclusion of aneurysm sac.
AAA can be successfully repaired in patients with renal neoplasm with great results, either simultaneously or in two stages. EVAR is a good alternative for such complex patients.