Primary Intimal Sarcoma of the Aorta

Rhee, Moo-Yong; Myong, Na Hye; Park, Young-Bae

doi:10.1253/circj.66.111

Cited by 25 publications

(4 citation statements)

References 7 publications

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“…Diagnosis of primary aortic tumors is difficult because of the rarity and diverse clinical manifestation of the disease [5]. Aortic sarcomas usually present with clinical signs related to embolization or nonspecific symptoms such as weight loss, fever and anorexia [6].…”

Section: Discussionmentioning

confidence: 99%

Intimal aortic sarcoma mimicking ruptured thoracoabdominal type IV aneurysm. a rare case report and review of the literature

Dedeilias

Koletsis

Nenekidis

et al. 2011

J Cardiothorac Surg

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Primary intimal aortic sarcoma represents a very rare and highly lethal medical entity. Diagnosis is made either by embolic events caused by the tumor or by surrounding tissue symptoms such as pain. Herein we report an extremely rare case of a 51-year-old man previously operated for ascending aortic aneurysm, who presented with clinical and radiological findings suggestive of a ruptured thoracoabdominal type IV aneurysm. The patient underwent radical resection of the aorta and surrounding tissue with placement of a composite 4-branched graft. The diagnosis was made by frozen section and regular histopathologic examination of the specimen and the patient received adjuvant chemotherapy. Nine months after surgery the patient is still alive and has no signs of recurrence. We review the literature and discuss the option of postoperative chemotherapy.

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Section: Discussionmentioning

confidence: 99%

Intimal aortic sarcoma mimicking ruptured thoracoabdominal type IV aneurysm. a rare case report and review of the literature

Dedeilias

Koletsis

Nenekidis

et al. 2011

J Cardiothorac Surg

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“…Although MRI, PET-CT, and transesophageal echocardiography are valuable diagnostic modalities for detecting neoplastic lesions [ 1 , 2 , 9 ], preoperative diagnosis remains elusive as these lesions frequently present as aneurysms or atherosclerotic occlusive lesions. In this case, contrast-enhanced CT and transthoracic echocardiography were performed preoperatively; however, a definitive preoperative diagnosis remained elusive due to the lack of suspicion of a tumorous lesion as the cause before the surgery.…”

Section: Discussionmentioning

confidence: 99%

Primary angiosarcoma arising in the sinus of Valsalva: A case report

Morimoto,

Miyasaka,

Ikeda

et al. 2024

International Journal of Surgery Case Reports

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“…Compared with conventional angiography, MR angiography is more favored as it does not carry the risks of embolization or contrast-induced renal failure ( 8 ). A previous study has indicated that transesophageal echocardiography may also reveal an inhomogeneous and echodense mass with an outer membrane, which is unlike a thrombus and is suggestive of a primary aortic tumor ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Palliative surgery for primary sarcoma in the abdominal aorta: A case report and review of the literature

et al. 2013

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Abstract. Primary sarcoma of the aorta is extremely rare and accounts for <1% of all sarcomas. The present study describes the case of a 45-year-old male who presented with lower limb and abdominal pain. Abdominal computed tomography (CT) and magnetic resonance (MR) arteriography revealed a tumor that extended from the infrarenal aorta to the aortic bifurcation. The external and internal iliac arteries were occluded by the tumor incursion. Palliative surgery was performed for the sarcoma since the patient refused a radical resection. To improve the blood supply to the lower limbs, an axillary bifemoral bypass was established. Following the surgery, the pain was significantly reduced. However, the patient succumbed due to extensive metastasis 6 months after this surgery. Aortic sarcoma is an extremely rare disease with a poor prognosis. A diagnosis at a relatively early stage is necessary for a longer survival time. Radical surgery is the most significant treatment. Patients at advanced stages should consider palliative surgery in order to improve their quality of life.

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Primary Intimal Sarcoma of the Aorta

Cited by 25 publications

References 7 publications

Intimal aortic sarcoma mimicking ruptured thoracoabdominal type IV aneurysm. a rare case report and review of the literature

Intimal aortic sarcoma mimicking ruptured thoracoabdominal type IV aneurysm. a rare case report and review of the literature

Primary angiosarcoma arising in the sinus of Valsalva: A case report

Palliative surgery for primary sarcoma in the abdominal aorta: A case report and review of the literature

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