Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case

We report a rare case in which a patient required three surgeries with competing priorities. In a 68-year-old man diagnosed with an abdominal aortic aneurysm (AAA), computed tomography (CT) revealed an infrarenal AAA, unusual thickening of the sigmoid colon that suggested cancer, and a filling defec...

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Autores principales: Kihara, Kazuki, Tashiro, Miwa, Miyashita, Kohei, Yamamoto, Masaki, Hirose, Hironobu, Fukutomi, Takashi, Nishimori, Hideaki, Orihashi, Kazumasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579771/
https://www.ncbi.nlm.nih.gov/pubmed/29034042
http://dx.doi.org/10.3400/avd.cr.16-00113
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author Kihara, Kazuki
Tashiro, Miwa
Miyashita, Kohei
Yamamoto, Masaki
Hirose, Hironobu
Fukutomi, Takashi
Nishimori, Hideaki
Orihashi, Kazumasa
author_facet Kihara, Kazuki
Tashiro, Miwa
Miyashita, Kohei
Yamamoto, Masaki
Hirose, Hironobu
Fukutomi, Takashi
Nishimori, Hideaki
Orihashi, Kazumasa
author_sort Kihara, Kazuki
collection PubMed
description We report a rare case in which a patient required three surgeries with competing priorities. In a 68-year-old man diagnosed with an abdominal aortic aneurysm (AAA), computed tomography (CT) revealed an infrarenal AAA, unusual thickening of the sigmoid colon that suggested cancer, and a filling defect in the left atrium. We considered the disease stage, which affects prognosis, and the risk of complications that could interfere with the treatment of the other pathologies and developed a three-stage surgical strategy: (i) endovascular aortic repair, (ii) sigmoid colectomy, and (iii) resection of the left atrial mass. The patient’s postsurgical recovery was uneventful.
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spelling pubmed-55797712017-10-13 Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case Kihara, Kazuki Tashiro, Miwa Miyashita, Kohei Yamamoto, Masaki Hirose, Hironobu Fukutomi, Takashi Nishimori, Hideaki Orihashi, Kazumasa Ann Vasc Dis Case Report We report a rare case in which a patient required three surgeries with competing priorities. In a 68-year-old man diagnosed with an abdominal aortic aneurysm (AAA), computed tomography (CT) revealed an infrarenal AAA, unusual thickening of the sigmoid colon that suggested cancer, and a filling defect in the left atrium. We considered the disease stage, which affects prognosis, and the risk of complications that could interfere with the treatment of the other pathologies and developed a three-stage surgical strategy: (i) endovascular aortic repair, (ii) sigmoid colectomy, and (iii) resection of the left atrial mass. The patient’s postsurgical recovery was uneventful. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017-06-25 /pmc/articles/PMC5579771/ /pubmed/29034042 http://dx.doi.org/10.3400/avd.cr.16-00113 Text en Copyright © 2017 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Kihara, Kazuki
Tashiro, Miwa
Miyashita, Kohei
Yamamoto, Masaki
Hirose, Hironobu
Fukutomi, Takashi
Nishimori, Hideaki
Orihashi, Kazumasa
Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case
title Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case
title_full Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case
title_fullStr Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case
title_full_unstemmed Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case
title_short Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case
title_sort description of the surgical strategy used for the treatment of a complex disease: report of a case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579771/
https://www.ncbi.nlm.nih.gov/pubmed/29034042
http://dx.doi.org/10.3400/avd.cr.16-00113
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