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October 1959

Resection of the Aorta for Malignant Invasion

Author Affiliations

Rochester, Minn.
Fellow in Surgery, Mayo Foundation (Dr. Lim); Section of Surgery, Mayo Clinic and Mayo Foundation (Dr. McGoon). The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1959;79(4):614-616. doi:10.1001/archsurg.1959.04320100080014

Progress in the field of vascular surgery has resulted in reduction of the mortality and morbidity rates associated with local resection of the aorta. Such reduction of the mortality rates in association with any major operation inevitably results in an extended application of that procedure. Thus, local involvement of major blood vessels by neoplastic infiltration should no longer, of itself, deter the surgeon from accomplishing excision of such a lesion. To demonstrate the application of this principle, the following case is presented, in which the abdominal aorta was resected because of involvement by a late recurrence of ovarian carcinoma.

Report of a Case  A 59-year-old married woman was first seen at the Mayo Clinic in August, 1953, complaining chiefly of a tender mass in the right lower abdominal quadrant, first noted two months previously. At examination the only pertinent finding was a mass 8 by 10 cm. arising from the

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