Percutaneous Treatment of Multiple Recurrent Thromboembolization from a Descending Thoracic Aortic Intimal Sarcoma.
Aortic intimal sarcomas are rare tumors that may result in distal embolic ischemia. Here, we present a patient who presented with crescendo lower extremity and mesenteric ischemic events from malignant macroembolism. Management with percutaneous pharmacomechanical thromboembolectomy enabled restoration of distal perfusion and minimally invasive collection of tumor sample to confirm the suspected diagnosis of aortic sarcoma. The patient underwent definitive aortectomy and reconstruction and is recovering well.
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Angelina S
AS
June
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD. Electronic address: dharris@smail.umaryland.edu.
Donald G
DG
Harris
Department of Pathology, University of Maryland School of Medicine, Baltimore, MD.
Christine
C
Yoo
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Danon
D
Garrido
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; Center for Aortic Disease, University of Maryland Medical Center, Baltimore, MD.
Shahab
S
Toursavadkohi
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; Center for Aortic Disease, University of Maryland Medical Center, Baltimore, MD.
Rajabrata
R
Sarkar
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; Center for Aortic Disease, University of Maryland Medical Center, Baltimore, MD.
Robert S
RS
Crawford
D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D000072226:Computed Tomography Angiography; D017128:Embolectomy / Q000379:methods; D005260:Female; D006801:Humans; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D012008:Recurrence; D012509:Sarcoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D017131:Thrombectomy / Q000379:methods; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome; D017540:Tunica Media / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D019043:Vascular Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery