title: Total resection of the aortic arch intimal sarcoma using the L-incision technique.
abstract: A 26-year-old male suffering from sudden right lower abdominal pain and lumbago was referred to our hospital. Enhanced computed tomography demonstrated bilateral kidneys and spleen infarctions, and a large tumour was found occupying the aortic arch and thoracic descending aorta. We suspected that these infarctions were due to tumour embolization. The aortic arch and thoracic descending aorta were resected with the tumour and then reconstructed using the L-incision technique. A microscopic examination revealed the presence of an intimal sarcoma. The patient was treated with adjuvant chemotherapy and showed a good postoperative course. Neither recurrence nor metastasis has been observed during the 3 years since the operation.
authors.affiliation: Department of Cardiovascular Surgery, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Onitsuka
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nishida
authors.forename: Koichi
authors.initials: K
authors.lastname: Akashi
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tominaga
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D009383:Neoplasms, Vascular Tissue / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D012509:Sarcoma / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D017539:Tunica Intima / Q000601:surgery*
chemical_list: D000970:Antineoplastic Agents
keywords: Aortic operation; Chemotherapy; Tumour