this research received no specific grant from any funding agency in the public , commercial , or not - for - profit sectors all the authors contributed equally all contributing authors are listed this research received no specific grant from any funding agency in the public , commercial , or not - for - profit sectors
perioperative management of a patient with ischemic heart disease with coexisting abdominal aortic aneurysm and pheochromocytoma creates a difficult management dilemma , and surgical intervention in these patients carries a significant risk . 
 the state of catecholamine excess and various other coexisting factors can lead to simultaneous occurrence of abdominal aortic aneurysm and pheocromocytoma . 
 the purpose of this report is to present an integrated approach to the management of concomitant abdominal aortic aneurysm and pheochromocytoma , where a combined surgical approach in addressing these two lesions was preferable due to patient comorbidities and surgical implications without significant complication .