Surgical treatment of aortic dissection in a patient with metastatic prostate cancer [Liječenje akutne disekcije aorte u bolesnika s metastatskim karcinomom prostate]

Gašparović, Hrvoje and Širić, Franjo and Vojković, Jakov and Štern-Padovan, Ranka and Burcar, Ivan and Jelić, Ivan (2010) Surgical treatment of aortic dissection in a patient with metastatic prostate cancer [Liječenje akutne disekcije aorte u bolesnika s metastatskim karcinomom prostate]. Collegium Antropologicum, 34 (3). pp. 1109-1111. ISSN 0350-6134

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Abstract

Acute aortic dissection bears all the stigmata of a true clinical emergency. The natural history of this acute aortic syndrome warrants prompt surgical intervention, with only a few absolute contraindications to this line of treatment. We present a 74-year-old man with documented metastatic prostate cancer who underwent emergent surgery for acute Stanford A aortic dissection. Having acknowledged the relatively favorable evolution of our patient's malignant disease, we were not deterred by its presence from pursuing surgical treatment of his aortic dissection.

Abstract in Croatian

Akutna disekcija aorte eklatantni je primjer hitnoga kirurškog stanja. Smrtonosan tijek bolesti zahtijeva hitnu kiruršku intervenciju uz rijetke apsolutne kontraindikacije za hitni kirurški zahvat. Ovdje opisujemo slučaj 74 godine staroga muškarca s dijagnosticiranim metastatskim karcinomom prostate koji je podvrgnut kirurškom liječenju akutne disekcije aorte tipa Stanford A. Usprkos postojanju diseminiranog karcinoma prostate odlučili smo se za kirurški tretman akutne disekcije aorte uvažavajući tijek i prognozu njegove osnovne maligne bolesti.

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