title: Intimal sarcoma in the aortic arch partially obstructing the aorta with metastasis to the brain.
abstract: Primary tumors of the aorta are rare entities. We report the unusual manifestation of an aortic intimal sarcoma that presented as a brain metastasis in a 56-year-old, otherwise healthy woman. After the brain mass had been resected, multiple imaging methods revealed pseudocoarctation and the primary tumor in the aortic arch. To our knowledge, this is the first report of the diagnosis of an aortic intimal sarcoma with use of real-time, 3-dimensional transesophageal echocardiography.
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Alicia
authors.initials: A
authors.lastname: Mecklai
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Barry
authors.initials: B
authors.lastname: Rosenzweig
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Robert
authors.initials: R
authors.lastname: Applebaum
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Leon
authors.initials: L
authors.lastname: Axel
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Eugene
authors.initials: E
authors.lastname: Grossi
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Alexander
authors.initials: A
authors.lastname: Chan
authors.affiliation: Departments of Medicine (Drs. Applebaum, Mecklai, Rosenzweig, and Saric), Radiology (Dr. Axel), Surgery (Dr. Grossi), and Pathology (Dr. Chan), New York University School of Medicine, New York, New York 10016.
authors.forename: Muhamed
authors.initials: M
authors.lastname: Saric
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D001706:Biopsy; D001932:Brain Neoplasms / Q000556:secondary* / Q000601:surgery; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D064847:Multimodal Imaging; D011237:Predictive Value of Tests; D012509:Sarcoma / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D018608:Ultrasonography, Doppler; D019043:Vascular Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*
keywords: Aorta, thoracic/pathology/radiography; diagnostic imaging/methods; hemangiosarcoma/complications/diagnosis; tunica intima/pathology; vascular neoplasms/diagnosis