Key result
Staged AAA repair followed by CABG and oral cancer resection achieves 5-year recurrence-free survival.
Why the study?
Can staged surgical treatment (AAA repair, CABG, then tumor resection) be safely performed in a patient with advanced oral cancer, emergency abdominal aortic aneurysm, and severe asymptomatic 3-vessel coronary artery disease?
Case Report (n=1)
No
Can staged surgical treatment (AAA repair, CABG, then tumor resection) be safely performed in a patient with advanced oral cancer, emergency abdominal aortic aneurysm, and severe asymptomatic 3-vessel coronary artery disease?
Staged surgical management is feasible in patients with concurrent malignancies and severe cardiovascular diseases, highlighting the importance of preoperative CT screening for asymptomatic coronary artery disease in diabetic patients.
Staged surgery may be feasible in select patients with oral cancer and cardiovascular disease; leaves open broader safety and applicability.
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Yamaguchi et al. (2022) conducted a case report in Oral floor cancer, 3-vessel coronary artery disease, emergency abdominal aortic aneurysm (n=1). Staged surgical treatment (graft replacement of abdominal aorta, coronary artery bypass graft, radiation therapy, and curative surgery for oral cancer) was evaluated on Survival and tumor recurrence. Staged surgical treatment, beginning with emergency abdominal aortic aneurysm repair followed by coronary artery bypass and subsequent oral cancer resection, resulted in successful management with no recurrence at 5 years.
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