Successful endovascular treatment of infrarenal aortic rupture after chemotherapy of a mesenchymal periaortic tumor.
case_report · Level V
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Abstract
To report the first successful endovascular repair of a non-aneurysmal aortic rupture due to periaortic tumour regression. A 58-year-old man developed spontaneous infrarenal aortic rupture following chemotherapy which led to regression of a periaortic mesothelioma that had been diagnosed during explorative laparotomy 11 months earlier. Stent-graft placement was performed with intentional conversion of a bifurcated (Zenith, COOK) into an aorto-uni-iliac system. No complications were encountered during a 40 months follow-up. Endovascular repair should be considered as a treatment option in non-aneurysmal aortic rupture.
Medical subject headings
- Antineoplastic Agents
- Aortic Rupture
- Blood Vessel Prosthesis Implantation
- Mesothelioma
- Peritoneal Neoplasms