Successful endovascular treatment of infrarenal aortic rupture after chemotherapy of a mesenchymal periaortic tumor.
OBJECTIVE
To report the first successful endovascular repair of a non-aneurysmal aortic rupture due to periaortic tumour regression.


METHODS
A 58-year-old man developed spontaneous infrarenal aortic rupture following chemotherapy which led to regression of a periaortic mesothelioma that had been diagnosed during explorative laparotomy 11 months earlier. Stent-graft placement was performed with intentional conversion of a bifurcated (Zenith, COOK) into an aorto-uni-iliac system. No complications were encountered during a 40 months follow-up.


CONCLUSIONS
Endovascular repair should be considered as a treatment option in non-aneurysmal aortic rupture.
Rückert
R I
RI
Department of Surgery, Franziskus-Krankenhaus Berlin, Berlin, Germany. rir-chirurgie@franziskus-berlin.de
Pirlich
M
M
Rogalla
P
P
Ismail
M
M
Müller
J M
JM
D000970:Antineoplastic Agents / Q000009:adverse effects*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000188:drug therapy*; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000188:drug therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed
D000970:Antineoplastic Agents