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Thoracic Endovascular Aortic Repair for Embolizing Total Occlusion of the Descending Aorta due to Aortic Sarcoma.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2017 Feb; Vol. 39, pp. 286.e7-286.e10. Date of Electronic Publication: 2016 Oct 01. - Publication Year :
- 2017
-
Abstract
- Primary malignant tumors of the aorta are extremely rare, and the diagnosis is difficult from the clinical onset. Accordingly to the principles of cancer surgery, "en bloc" resection of the tumor-involved aorta and graft interposition is the gold standard, but it is still technically challenging and comorbidities may rule out some patients from an operative treatment. Thoracic endovascular aortic repair has been reported anecdotally, but it is an ease and rapid alternative in urgent circumstances and proved to be effective to relieve symptoms caused by these lesions. Unfortunately, no matter what is the type of histology or immunohistochemistry, or the type of treatment, the prognosis of aortic malignancies is very poor. Nevertheless, an operative treatment strategy which includes surgical resection and chemotherapy or radiation had long survival than patients treated with a single modality. We report a case of acute mesenteric syndrome caused by an occlusive and embolizing thrombus of the descending thoracic aorta caused by primary aortic sarcoma treated with thoracic endovascular aortic repair.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Aorta, Thoracic pathology
Aortic Diseases diagnostic imaging
Aortic Diseases etiology
Aortography methods
Arterial Occlusive Diseases diagnostic imaging
Arterial Occlusive Diseases etiology
Blood Vessel Prosthesis
Computed Tomography Angiography
Embolism diagnostic imaging
Embolism etiology
Humans
Male
Mesenteric Ischemia etiology
Mesenteric Ischemia surgery
Mesenteric Vascular Occlusion etiology
Mesenteric Vascular Occlusion surgery
Prosthesis Design
Sarcoma pathology
Treatment Outcome
Vascular Neoplasms pathology
Aorta, Thoracic surgery
Aortic Diseases surgery
Arterial Occlusive Diseases surgery
Blood Vessel Prosthesis Implantation instrumentation
Embolism surgery
Endovascular Procedures instrumentation
Sarcoma complications
Vascular Neoplasms complications
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 39
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 27702694
- Full Text :
- https://doi.org/10.1016/j.avsg.2016.06.024