title: Intimal sarcoma in an inflammatory aneurysm after endovascular aneurysm repair.
abstract: Long-term outcomes after endovascular aneurysm repair (EVAR) for inflammatory aneurysms are unknown. We present a young patient with new-onset back pain and failure to thrive 6 years after EVAR for an inflammatory abdominal aortic aneurysm (AAA). Endograft explanation was performed with a presumed diagnosis of infection. Pathology revealed intimal sarcoma in the excluded aneurysm sac with liver metastasis. This report presents a detailed review of literature regarding potential association of prosthetic implantation and carcinogenesis.
authors: Division of Vascular and Endovascular Surgery, Mayo Clinic College of Medicine, Rochester, MN, USA.
authors: Nitin
authors: N
authors: Garg
authors: Mark A
authors: MA
authors: Lewis
authors: Joseph J
authors: JJ
authors: Maleszewski
authors: Manju
authors: M
authors: Kalra
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000628:therapy*; D017130:Angioplasty / Q000009:adverse effects / Q000379:methods*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D001707:Biopsy, Needle; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D011859:Radiography; D035583:Rare Diseases; D018570:Risk Assessment; D012509:Sarcoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D015607:Stents / Q000009:adverse effects*; D017539:Tunica Intima / Q000473:pathology; D019043:Vascular Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods