[Cardiovascular and urological combined operation in a patient with severe aortic stenosis and renal cell carcinoma]. / Intervento combinato cardiochirurgico e urologico in paziente con grave insufficienza cardiaca secondaria a stenosi aortica e voluminosa neoplasia renale sintomatica.

ABSTRACT

The simultaneous treatment of cardiovascular and urological diseases is at present discussed concerning indication and the increasing postoperative complications. Rarely these cases are observed with simultaneous critical diseases for both apparatuses thus conditioning the manner and timing of procedures. Authors report a case of sequential cardiosurgical and urological treatment in a patient affected by severe aortic stenosis and kidney neoplasm with bleeding. Authors performed the combined approach in the cardiosurgical department, starting with the aortic valve replacement with extracorporeal circulation (ECC) procedure and subsequently with the radical right nephrectomy. We believe that, with limitations according to each case, this approach can be taken into account in selected cases with severe cardiac valve disease refractory to medical therapy with persistent hematuria or bleeding.