Combined Operation of Abdominal Aortic Aneurysm and Colon Carcinoma-Perioperative Management of Combined Severe Coronary Three Vessel Disease. A Case Report / 日本心臓血管外科学会雑誌

ABSTRACT

We report a case who received a combined operation for abdominal aortic aneurysm (AAA) and colon carcinoma. The AAA was 7cm in diameter and the colon carcinoma was advanced without distant metastasis. To prevent contamination in the operative field, a temporary stoma was chosen instead of anastomosis for the partial colon resection. Since the patient suffered severe coronary three-vessel disease, we applied the same management as for cardiac surgery during the operation and postoperatively. There were no complications such as myocardial infarction. We assume that the number of patients with AAA complicated with malignant tumor or ischemic heart disease may increase in future. It is necessary to be careful and perform further investigations concerning operation method and perioperative management.