European Journal of Vascular & Endovascular Surgery
Volume 37, Issue 5 , Pages 544-556 , May 2009

Concurrent Colorectal Malignancy and Abdominal Aortic Aneurysm: A Multicentre Experience and Review of the Literature

  • J. Shalhoub

      Affiliations

    • Department of Bio Surgery & Surgical Technology, Faculty of Medicine, Imperial College London, St Mary's Hospital, London, UK
    • Corresponding Author InformationCorresponding author. Mr. Joseph Shalhoub, BSc MBBS MRCS, Department of Bio-Surgery and Surgical Technology, Faculty of Medicine, Imperial College London, St. Mary's HospitalPraed Street, London W2 1NY, UK. Tel.: +44 0 7985 242 788.
    • ,
  • P. Naughton

      Affiliations

    • Department of Bio Surgery & Surgical Technology, Faculty of Medicine, Imperial College London, St Mary's Hospital, London, UK
    • Regional Vascular Unit, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK
    • Department of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland
    • ,
  • N. Lau

      Affiliations

    • Department of Bio Surgery & Surgical Technology, Faculty of Medicine, Imperial College London, St Mary's Hospital, London, UK
    • ,
  • J.S. Tsang

      Affiliations

    • Department of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland
    • ,
  • C.J. Kelly

      Affiliations

    • Department of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland
    • ,
  • A.L. Leahy

      Affiliations

    • Department of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland
    • ,
  • N.J.W. Cheshire

      Affiliations

    • Department of Bio Surgery & Surgical Technology, Faculty of Medicine, Imperial College London, St Mary's Hospital, London, UK
    • Regional Vascular Unit, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK
    • ,
  • A.W. Darzi

      Affiliations

    • Department of Bio Surgery & Surgical Technology, Faculty of Medicine, Imperial College London, St Mary's Hospital, London, UK
    • ,
  • P. Ziprin

      Affiliations

    • Department of Bio Surgery & Surgical Technology, Faculty of Medicine, Imperial College London, St Mary's Hospital, London, UK

Received 8 October 2008 ,Accepted 14 January 2009.

References 

  1. Szilagyi DE, Elliott JP, Berguer R. Coincidental malignancy and abdominal aortic aneursym: problems of management. Arch Surg. 1967 Sep;95(3):402–412
  2. Nora JD, Pairolero PC, Nivatvongs S, Cherry KJ, Hallett JW, Gloviczki P. Concomitant abdominal aortic aneurysm and colorectal carcinoma: priority of resection. J Vasc Surg. 1989 May;9(5):630–635
  3. Porcellini M, Nastro P, Bracale U, Brearley S, Giordano P. Endovascular versus open surgical repair of abdominal aortic aneurysm with concomitant malignancy. J Vasc Surg. 2007 Jul;46(1):16–23
  4. Veraldi GF, Minicozzi AM, Leopardi F, Ciprian V, Genco B, Pacca R. Treatment of abdominal aortic aneurysm associated with colorectal cancer: presentation of 14 cases and literature review. Int J Colorectal Dis. 2007;
  5. Tilson MD, Fieg EL, Harvey M. Malignant neoplasia in patients with abdominal aortic aneurysms. Arch Surg. 1984 Jul;119(7):792–794
  6. Baxter NN, Noel AA, Cherry K, Wolff BG. Management of patients with colorectal cancer and concomitant abdominal aortic aneurysm. Dis Colon Rectum. 2002 Feb;45(2):165–170
  7. Lobbato VJ, Rothenberg RE, LaRaja RD, Georgiou J. Coexistence of abdominal aortic aneurysm and carcinoma of the colon: a dilemma. J Vasc Surg. 1985 Sep;2(5):724–726
  8. Kiskinis D, Spanos C, Melas N, Efthimiopoulos G, Saratzis N, Lazaridis I, et al. Priority of resection in concomitant abdominal aortic aneurysm (AAA) and colorectal cancer (CRC): review of the literature and experience of our clinic. Tech Coloproctol. 2004 Nov;8(Suppl 1):s19–s21
  9. Shimada Y, Sogawa M, Okada A, Namura O, Hayashi J, Iiai T, et al. A single-stage operation for abdominal aortic aneurysm with concomitant colorectal carcinoma. Ann Thorac Cardiovasc Surg. 2005 Oct;11(5):339–342
  10. Georgopoulos S, Pikoulis E, Bacoyiannis C, Tsigris C, Felekouras E, Leppäniemi A, et al. Combined abdominal aortic aneurysmectomy and other abdominal operations. Scand J Surg. 2004;93(1):61–63
  11. Matsumoto K, Murayama T, Nagasaki K, Osumi K, Tanaka K, Nakamaru M, et al. One-stage surgical management of concomitant abdominal aortic aneurysm and gastric or colorectal cancer. World J Surg. 2002 Apr;26(4):434–437
  12. Matsumoto K, Nakamaru M, Obara H, Hayashi S, Harada H, Kitajima M, et al. Surgical strategy for abdominal aortic aneurysm with concurrent symptomatic malignancy. World J Surg. 1999 Mar;23(3):248–251
  13. Illuminati G, Calio' FG, D'Urso A, Lorusso R, Ceccanei G, Vietri F. Simultaneous repair of abdominal aortic aneurysm and resection of unexpected, associated abdominal malignancies. J Surg Oncol. 2004 Dec 15;88(4):234–239
  14. Egeberg T, Haug ES, Thoresen JE, Myhre HO. Concomitant intra-abdominal disease in aortic surgery. Eur J Vasc Endovasc Surg. 1997 Dec;14(Suppl A):18–23
  15. Oshodi TO, Abraham JS, Brigg JK, Kelly JF. Management of co-existing intra-abdominal disease in aortic surgery. Eur J Vasc Endovasc Surg. 2000 Jan;19(1):43–46
  16. Robinson G, Hughes W, Lippey E. Abdominal aortic aneurysm and associated colorectal carcinoma: a management problem. Aust N Z J Surg. 1994 Jul;64(7):475–478
  17. Bachoo P, Cooper G, Engeset J, Cross KS. Management of synchronous infrarenal aortic disease and large bowel cancer: a north-east Scotland experience. Eur J Vasc Endovasc Surg. 2000 Jun;19(6):614–618
  18. Swanson RJ, Littooy FN, Hunt TK, Stoney RJ. Laparotomy as a precipitating factor in the rupture of intra-abdominal aneurysms. Arch Surg. 1980 Mar;115(3):299–304
  19. Velanovich V, Andersen CA. Concomitant abdominal aortic aneurysm and colorectal cancer: a decision analysis approach to a therapeutic dilemma. Ann Vasc Surg. 1991 Sep;5(5):449–455
  20. Prinssen M, Verhoeven ELJ, Buth J, Cuypers PWM, van Sambeek MRHM, Balm R, et al. Randomised endovascular aneurysm management (DREAM) trial group. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618[for the Dutch]
  21. EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30 day operative mortality results: randomised controlled trial. Lancet. 2004;364:843–848
  22. Bush RL, Johnson ML, Collins TC, Henderson WG, Khuri SF, Yu HJ, et al. Open versus endovascular abdominal aortic aneurysm repair in VA hospitals. J Am Coll Surg. 2006 Apr;202(4):577–587
  23. Trueblood HW, Williams DK, Gustafson JR. Aneursymal rupture following resection of abdominal malignancy. Am Surg. 1976 Jul;42(7):535–537
  24. Prusa AM, Wolff KS, Sahal M, Polterauer P, Lammer J, Kretschmer G, et al. Abdominal aortic aneurysms and concomitant diseases requiring surgical intervention: simultaneous operation vs staged treatment using endoluminal stent grafting. Arch Surg. 2005 Jul;140(7):686–691
  25. Herald JA, Young CJ, White GH, Solomon MJ. Endosurgical treatment of synchronous rectal cancer and abdominal aortic aneurysm, without laparotomy. Surgery. 1998;124:932–933
  26. Chai CY, Lin PH, Bush RL, Lumsden AB. Aortic Aortic endograft thrombosis after colorectal surgery in lithotomy position. J Vasc Surg. 2004 May;39(5):1112–1114
  27. Komori K, Okadome K, Itoh H, Funahashi S, Sugimachi K. Management of concomitant abdominal aortic aneurysm and gastrointestinal malignancy. J Am Coll Surg. 1993;166:108–111
  28. Oshodi TO, Abraham JS, Kelly JF. Simultaneous aortic aneurysm repair and colonic surgery. Br J Surg. 2000 Apr;87(4):520–521
  29. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG, trial participants EVAR. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004 Sep 4–10;364(9437):843–848
  30. Vogel TR, Symons R, Flum DR. The incidence and factors associated with graft infection after aortic aneurysm repair. J Vasc Surg. 2008 Feb;47(2):264–269
  31. Lopes A, Rodrigues C, Lopes L, Vilca-Melendez H, Rodrigues A. Differences in tumour growth, tumour cell proliferation and immune function after laparoscopy and laparotomy in an animal model. HPB (Oxford). 2001;3(3):213–217
  32. Bush RL, Johnson ML, Hedayati N, Henderson WG, Lin PH, Lumsden AB. Performance of endovascular aortic aneurysm repair in high-risk patients: results from the Veterans affairs national surgical quality improvement program. J Vasc Surg. 2007 Feb;45(2):227–233
  33. Bernhard VM. Management of graft infections following abdominal aortic aneurysm replacement. World J Surg. 1980 Nov;4(6):679–686
  34. Bernhard VM. Management of infected vascular prostheses. Surg Clin North Am. 1975 Dec;55(6):1411–1417
  35. Palm SJ, Russwurm GP, Chang D, Rozenblit AM, Ohki T, Veith FJ. Acute enlargement and subsequent rupture of an abdominal aortic aneurysm in a patient receiving chemotherapy for pancreatic carcinoma. J Vasc Surg. 2000 Jul;32(1):197–200
  36. von Rahden BH, Stein HJ, Reiter R, Becker I, Siewert JR. Delayed aortic rupture after radiochemotherapy and esophagectomy for esophageal cancer. Dis Esophagus. 2003;16(4):346–349
  37. Lauro S, Lanzetta G, Bria E, Trasatti L, Gelibter A, Vecchione A. Antiblastic chemotherapy in the presence of abdominal aorta aneurysm (AAA): guidelines. Anticancer Res. 1999 Mar–Apr;19(2B):1439–1444

☆ Presentations: Sir Peter Freyer Memorial Surgical Symposium, September 2008; European Society of Coloproctology, Malta, September 2007; Association of Surgeons of Great Britain and Ireland, Manchester, April 2007.

PII: S1078-5884(09)00012-4

doi: 10.1016/j.ejvs.2009.01.004

European Journal of Vascular & Endovascular Surgery
Volume 37, Issue 5 , Pages 544-556 , May 2009

Article Tools

* Image Usage & Resolution