Three-Stage Esophagectomy Combined with Abdominal Aortic Aneurysm Repair: First Case in the Literature

The purpose of this report is to describe the synchronous surgical treatment of an abdominal aortic aneurysm (AAA) with concomitant esophageal cancer with a 3-stage esophagectomy, a real management challenge especially in establishing the therapeutic priorities and the ideal treatment approach. A 65-year-old male was referred for treatment in our hospital with the diagnosis of AAA. He complained of general fatigue, weight loss, and intermittent dysphagia. Contrast-enhanced computed tomography and upper endoscopy showed the AAA and a large gastroesophageal junction tumor, respectively. Considering his age and the absence of severe comorbidities, he underwent 3-stage esophagectomy combined with AAA repair. The patient had an uneventful postoperative course and was discharged on the 15th postoperative day. He was offered adjuvant chemotherapy and remains free of disease and with a patent aortic graft at 18 months of follow-up.