title: Rapidly progressive descending aortic pseudoaneurysm resulting from primary malignant fibrous histiocytoma.
abstract: A 66-year-old man with a history of asymptomatic bilateral swelling of the axillary lymph nodes was admitted with hoarseness and pain of the right knee. Computed tomography showed a large pseudoaneurysm deriving from descending aorta. We planned to resect the pseudoaneurysm, and repair the aortic wall. Resection of the pseudoaneurysm and patch-closure of the defect of the aorta were performed successfully. Pathological examination of the pseudoaneurysm revealed malignant fibrous histiocytoma. The clinical course was very miserable. Intrathoracic recurrence occurred 7 months after surgery, and he died of multiple brain metastases 10 months postoperatively.
authors.affiliation: Department of Cardiovascular Surgery, Makiminato Chuo Hospital, 1199 Makiminato, Urasoe, Okinawa, Japan. ktatu602@yahoo.co.jp
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Tatsu
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kamata
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Kasahara
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001706:Biopsy; D001932:Brain Neoplasms / Q000556:secondary; D018450:Disease Progression; D017809:Fatal Outcome; D051677:Histiocytoma, Malignant Fibrous / Q000150:complications* / Q000556:secondary / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014656:Vascular Surgical Procedures