Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer
Currently, strategies for the management of tumor diseases of the urinary tract in combination with cardiovascular pathologies are controversial. In domestic literature, only isolated reports are found concerning the treatment of combined oncological and cardiovascular pathologies, and the global ex...
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| Format: | Article |
| Language: | Russian |
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QUASAR, LLC
2023-12-01
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| Series: | Исследования и практика в медицине |
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| Online Access: | https://www.rpmj.ru/rpmj/article/view/934 |
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| author | A. V. Chupin N. R. Masalimov T. P. Baitman A. A. Gritskevich V. A. Kulbak I. V. Miroshkina E. V. Kondratyev Ya. A. Stepanova I. E. Timina |
| author_facet | A. V. Chupin N. R. Masalimov T. P. Baitman A. A. Gritskevich V. A. Kulbak I. V. Miroshkina E. V. Kondratyev Ya. A. Stepanova I. E. Timina |
| author_sort | A. V. Chupin |
| collection | DOAJ |
| description | Currently, strategies for the management of tumor diseases of the urinary tract in combination with cardiovascular pathologies are controversial. In domestic literature, only isolated reports are found concerning the treatment of combined oncological and cardiovascular pathologies, and the global experience is limited to individual clinical observations and small retrospective series, primarily describing the experience of individual centers. The current challenge for specialists is to establish the ideal treatment sequence with regard to the optimal timing of each surgical procedure and the initial priority of treatment, or the possibility of performing them simultaneously. The article presents a case of successful simultaneous surgical intervention for juxtarenal abdominal aortic aneurysm (AAA) and renal cell carcinoma (RCC) of the left kidney. The patient underwent resection of an abdominal aortic aneurysm with the replacement of the left renal artery, resection of the left kidney under pharmaco-cold ischemia, with thrombectomy from the renal vein. The postoperative period proceeded satisfactorily. After 6 months, on the control computed tomography of the abdominal organs with contrast enhancement (CT) of the abdominal cavity with CU, the prosthesis of the abdominal aorta and the left renal artery are functioning. According to color duplex scanning (CDS) of the renal vessels, the blood flow in the left kidney is preserved to the periphery with normal speed indicators. No data on the recurrence of the oncological process were received. |
| format | Article |
| id | doaj-art-b91f7f6a2ff64cb2ad6fb19856d6771c |
| institution | Kabale University |
| issn | 2410-1893 |
| language | Russian |
| publishDate | 2023-12-01 |
| publisher | QUASAR, LLC |
| record_format | Article |
| series | Исследования и практика в медицине |
| spelling | doaj-art-b91f7f6a2ff64cb2ad6fb19856d6771c2025-02-03T07:12:18ZrusQUASAR, LLCИсследования и практика в медицине2410-18932023-12-0110411913110.17709//2410-1893-2023-10-4-10519Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancerA. V. Chupin0N. R. Masalimov1T. P. Baitman2A. A. Gritskevich3V. A. Kulbak4I. V. Miroshkina5E. V. Kondratyev6Ya. A. Stepanova7I. E. Timina8National Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation; <p> Russian Medical Academy of Continuous Professional Education, Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationRussian Medical Academy of Continuous Professional Education, Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation; <p> Peoples' Friendship University of Russia, Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation; <p> Peoples' Friendship University of Russia, Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation<p> Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation<p> Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation<p> Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation<p> Moscow, Russian FederationNational Medical Research Center of Surgery named after A. V. Vishnevsky, Ministry of Healthcare of the Russian Federation<p> Moscow, Russian FederationCurrently, strategies for the management of tumor diseases of the urinary tract in combination with cardiovascular pathologies are controversial. In domestic literature, only isolated reports are found concerning the treatment of combined oncological and cardiovascular pathologies, and the global experience is limited to individual clinical observations and small retrospective series, primarily describing the experience of individual centers. The current challenge for specialists is to establish the ideal treatment sequence with regard to the optimal timing of each surgical procedure and the initial priority of treatment, or the possibility of performing them simultaneously. The article presents a case of successful simultaneous surgical intervention for juxtarenal abdominal aortic aneurysm (AAA) and renal cell carcinoma (RCC) of the left kidney. The patient underwent resection of an abdominal aortic aneurysm with the replacement of the left renal artery, resection of the left kidney under pharmaco-cold ischemia, with thrombectomy from the renal vein. The postoperative period proceeded satisfactorily. After 6 months, on the control computed tomography of the abdominal organs with contrast enhancement (CT) of the abdominal cavity with CU, the prosthesis of the abdominal aorta and the left renal artery are functioning. According to color duplex scanning (CDS) of the renal vessels, the blood flow in the left kidney is preserved to the periphery with normal speed indicators. No data on the recurrence of the oncological process were received.https://www.rpmj.ru/rpmj/article/view/934juxtarenal abdominal aortic aneurysmrenal cell carcerkidney cancerkidney resectionsimultaneous surgerypharmaco-cold ischemiaextracorporeal resection |
| spellingShingle | A. V. Chupin N. R. Masalimov T. P. Baitman A. A. Gritskevich V. A. Kulbak I. V. Miroshkina E. V. Kondratyev Ya. A. Stepanova I. E. Timina Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer Исследования и практика в медицине juxtarenal abdominal aortic aneurysm renal cell carcer kidney cancer kidney resection simultaneous surgery pharmaco-cold ischemia extracorporeal resection |
| title | Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer |
| title_full | Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer |
| title_fullStr | Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer |
| title_full_unstemmed | Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer |
| title_short | Multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer |
| title_sort | multidisciplinary approach to the treatment of a patient with juxtarenal abdominal aortic aneurysm and renal cell cancer |
| topic | juxtarenal abdominal aortic aneurysm renal cell carcer kidney cancer kidney resection simultaneous surgery pharmaco-cold ischemia extracorporeal resection |
| url | https://www.rpmj.ru/rpmj/article/view/934 |
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