Incidental finding of lung cancer in a patient with thoracic aortic aneurysm ? simultaneous management. A case report

Abstract

The simultaneous existence of thoracic aortic aneurysm and lung cancer is a rare finding, especially if the malignancy is primary and does not involve the aortic wall. In this report, we present a case of a typical descending thoracic aneurysm combined with a primary adenocarcinoma of the left lower lobe. The aneurysm was repaired with a Dacron graft without use of extra corporeal circulation and a typical left lower lobectomy was performed. In such cases, aneurysms should be treated primarily with endovascular stents. However, if this is not possible, a combined operation can be performed with good outcome.

Bronchopleural fistula after lower lobectomy of the right lung following thoracic endovascular aortic repair

“…Before the development of TEVAR, several one-stage operations were reported [1]. Currently, the strategy of a staged operation with TEVAR is preferred because it may reduce postoperative morbidity and mortality, and no other reports had any BPF problem [2,3]. All of the risks and the patient's condition (TAA size, shape, lung cancer stage, pulmonary function tests) must be considered and treated on a case-by-case basis.…”

Video-assisted thoracic surgery for cancer after thoracic aortic aneurysm repair

“…With an aging population, the need to manage patients with both aneurysmal disease and thoracic malignancy becomes increasingly important. While there are reports of patients in whom thoracoabdominal aortic aneurysm and lung cancer were diagnosed concomitantly and managed with either simultaneous open surgery or endovascular repair followed later by lobectomy, 4,5 our experience is unique in the literature. We present the above cases in support of an expanded role for VATS in the setting of prior open thoracic surgery.…”