Aortic Angiosarcoma: A Rare Cause for Leaking Thoracic Aneurysm
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : S. L. Hales R. Locke A. Sandison M. Jenkins M. Hamady
- چاپ و سال / کشور: 2010
Description
Primary malignant tumours of the aorta are rare. They present with aneurysm formation, arterial occlusion, and embolic phenomenon. We report the case of a 56-year-old man whose initial presentation and investigations lead to emergency endovascular stenting of a descending thoracic aneurysm with a contained leak. Initial response was favourable, yet the patient presented again with worsening symptoms. The circum-aortic haematoma expanded by 50% on subsequent imaging, but no endoleak was identified. When altered bone marrow signal was identified on magnetic resonance imaging, the possibility of malignancy was considered. A metastatic skin lesion was then biopsied, which demonstrated morphological and immunohistochemical features consistent with metastases from a pleomorphic sarcoma of the aorta.
Cardiovasc Intervent Radiol (2011) 34:S20–S24 DOI 10.1007/s00270-009-9776-3 Received: 7 August 2009 / Accepted: 24 November 2009 / Published online: 10 February 2010
