title: Diagnosis and treatment of a symptomatic primary thoracic aortic tumor: endovascular exclusion to prevent recurrent embolization.
abstract: Intraluminal aortic malignant masses are extremely rare. Clinical symptoms of these tumors include locally occlusive aortic disease, peripheral emboli, or mesenteric emboli. Eventually, general symptoms, such as fatigue, weight loss, or fever, will occur. Nevertheless, the diagnosis is most often made after surgery or autopsy, when histologic data can be examined. Few cases of intraaortic masses treated endovascularly have been reported, most of them related to intraluminal blood clot formation. We present a case of intraaortic malignant tumor formation with distal embolization to the legs, in which the diagnosis of malignant disease was reached after analysis of the material obtained during embolectomy. Endovascular exclusion was performed as a transient treatment to avoid new embolic events.
authors.affiliation: Department of Angiology and Vascular Surgery, Hospital Virgen de la Salud, Toledo, Spain. Electronic address: Javipeina@hotmail.com.
authors.forename: Javier
authors.initials: J
authors.lastname: Peinado Cebrian
authors.affiliation: Department of Angiology and Vascular Surgery, Hospital Clinic, Barcelona, Spain.
authors.forename: Gaspar
authors.initials: G
authors.lastname: Mestres Alomar
authors.affiliation: Department of Angiology and Vascular Surgery, Hospital Virgen de la Salud, Toledo, Spain.
authors.forename: Ruben
authors.initials: R
authors.lastname: Rodriguez Carvajal
authors.affiliation: Department of Vascular Surgery, Clínica las Condes, Santiago de Chile, Chile.
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Uribe Larach
authors.affiliation: Department of Angiology and Vascular Surgery, Hospital Clinic, Barcelona, Spain.
authors.forename: Vicente
authors.initials: V
authors.lastname: Riambau Alonso
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001706:Biopsy; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D018450:Disease Progression; D017128:Embolectomy; D057510:Endovascular Procedures / Q000295:instrumentation; D017809:Fatal Outcome; D006394:Hemangiosarcoma / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D011474:Prosthesis Design; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*