The rupture of descending thoracic aorta due to the necrosis of aortic intimal sarcoma.
Aortic intimal sarcoma is rare and the prognosis is very poor. We experienced a case of ruptured aortic intimal sarcoma in the descending aorta. A 69-year-old man underwent an emergency operation for the rupture of descending aorta. The postoperative course was uneventful. The histological examination of aortic wall showed aortic intimal sarcoma. The patient developed a local recurrence and abdominal dissemination of the tumor three months after surgery. We report the case and discuss about the diagnosis and treatment of thoracic aortic intimal sarcoma.
Tanaka
Mutsuo
M
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu-si, Tokyo, Japan. mutsuoman620@gmail.com
Tabata
Minoru
M
Shimokawa
Tomoki
T
Takanashi
Shuichiro
S
D000008:Abdominal Neoplasms / Q000556:secondary; D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001027:Aortography / Q000379:methods; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009336:Necrosis; D009364:Neoplasm Recurrence, Local; D012509:Sarcoma / Q000150:complications* / Q000556:secondary / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D019043:Vascular Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery