Combined modified en bloc corpectomy with replacement of the aorta in curative interdisciplinary treatment of a large XXXX infiltrating the aorta.

@entity1 @entity63 @entity5 @entity51 @entity421
PURPOSE: We report a case of a large three-level @entity421 infiltrating the adjacent aorta. This is the first case in which a combined modified three-level en bloc corpectomy with resection and replacement of the adjacent aorta was successful as a part of interdisciplinary curative treatment. METHODS: Case report. RESULTS: The surgical procedure was performed as a two-step treatment. A heart lung machine (HLM) was not used, in order to avoid cerebral and spinal @entity63 and to decrease the risk of @entity5 metastases. Instead, a bypass from the left subclavian artery the distal descending aorta was used. We modified the en bloc corpectomy procedure, leaving a dorsal segment of the vertebral bodies to enable rapid surgery. The procedure was successful and the en bloc resection of the vertebral body with aortal resection could be achieved. Except for pallhypesthesia in the left dermatomes Th7-Th10, the @entity1 does not have any postoperative @entity51 . CONCLUSION: Combined corpectomy with aortic replacement should be considered as a reasonable option in the curative treatment of @entity421 with consideration of the immense surgical risks. The use of an HLM is not necessary, especially considering the inherent risk of @entity5 metastases. Modified corpectomy leaving a dorsal vertebral body segment was considered a reasonable variation since @entity5 -free margins could still be expected.
