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Primary Intimal Sarcoma of the Aorta Associated With a Dacron Graft and Resulting in Arterial Rupture

Department of Surgery, MetroHealth Medical Center Case Western Reserve University Cleveland, Ohio; Heart and Vascular Center MetroHealth Medical Center 2500 MetroHealth Drive Cleveland, OH 44109jalexander{at}metrohealth.org

John Moawad, MD

Department of Surgery, Metro Health Medical Center Case Western Reserve University Cleveland, Ohio

Daniel Cai, MD

Department of Pathology, Metro Health Medical Center Case Western Reserve University Cleveland, Ohio.

Primary arterial neoplasms are rare lesions which have been most frequently associated with local or constitutional symptomatology, and with distal embolization. Perirenal aortic disruption with pseudoaneurysm formation due to an intimal sarcoma adjacent to a previously placed prosthetic graft is reported in a 66-year-old man. This case supports the premise that the presence of a vascular prosthesis might result in the induction of an arterial wall malignancy. This should be considered when an intraluminal mass is identified in the absence of other arterial pathology. Although the prognosis of these tumors is poor, their preoperative recognition may enhance treatment outcomes.

Key Words: intimal sarcoma • dacron • prosthesis • aorta • pseudoaneurysm

Vascular and Endovascular Surgery, Vol. 40, No. 6, 509-515 (2007)
DOI: 10.1177/1538574406290438


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