title: Intimal angiosarcoma causing abdominal aortic rupture.
abstract: Intimal angiosarcomas are rare and difficult to diagnose preoperatively. Complete surgical resection is essential, but long-term survival is unlikely. We report a patient who presented with a contained ruptured infrarenal aorta with clinical and radiologic findings suggestive of infectious aortitis. Surgical resection, regional debridement, and reconstruction were completed using a cadaveric arterial homograft. However, pathologic evaluation revealed a high-grade intimal sarcoma.
authors.affiliation: Division of Vascular Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Ill 27710, USA.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Naughton
authors.forename: Michael
authors.initials: M
authors.lastname: Wandling
authors.forename: Sachin
authors.initials: S
authors.lastname: Phade
authors.forename: Manuel
authors.initials: M
authors.lastname: Garcia-Toca
authors.forename: James C
authors.initials: JC
authors.lastname: Carr
authors.forename: Heron E
authors.initials: HE
authors.lastname: Rodriguez
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001025:Aortitis / Q000175:diagnosis; D001027:Aortography / Q000379:methods; D017024:Chemotherapy, Adjuvant; D003646:Debridement; D003951:Diagnostic Errors; D006394:Hemangiosarcoma / Q000150:complications* / Q000473:pathology / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D017543:Iliac Aneurysm / Q000209:etiology; D008297:Male; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D017539:Tunica Intima / Q000473:pathology* / Q000601:surgery; D058017:Vascular Grafting; D019043:Vascular Neoplasms / Q000150:complications* / Q000473:pathology / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents