SIMULTANEOUS ABDOMINAL AORTIC-ANEURYSM REPAIR AND NEPHRECTOMY FOR NEOPLASM

BACKGROUND: Abdominal aortic aneurysm and renal neoplasm are occasiona lly discovered concurrently, Simultaneous operative therapy may be an effective alternate management strategy to a staged procedure. PATIENT S AND METHODS: The medical records of 10 consecutive patients undergoi ng abdominal aortic aneurysm repair and nephrectomy for renal neoplasm were reviewed, Data collected included mode of presentation, preopera tive evaluation renal pathology, and in-hospital morbidity and mortali ty. Long-term follow-up was obtained through office records and teleph one contact. RESULTS: In 7 patients, the renal mass was identified dur ing evaluation of abdominal aortic aneurysm, The aneurysm was identifi ed during evaluation of hematuria in 2 patients. One patient was disco vered to have both conditions simultaneously. All patients underwent s uccessful aneurysm repair and nephrectomy, Pathology revealed 6 renal cell carcinomas, 2 complex cysts, 1 hemangiopericytoma, end 1 oncocyto ma. Four patients have died in the follow-up period: 1 of metastatic c ancer and 3 of unrelated causes, There have been no cases of graft inf ection. CONCLUSION: Simultaneous abdominal aortic aneurysm repair and nephrectomy for neoplasm is an appropriate management strategy for sel ected patients.