Intimal angiosarcoma causing abdominal aortic rupture.

Naughton, Peter A; Wandling, Michael; Phade, Sachin; Garcia-Toca, Manuel; Carr, James C; Rodriguez, Heron E · J Vasc Surg · 2011

case_report · Level V

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Abstract

Intimal angiosarcomas are rare and difficult to diagnose preoperatively. Complete surgical resection is essential, but long-term survival is unlikely. We report a patient who presented with a contained ruptured infrarenal aorta with clinical and radiologic findings suggestive of infectious aortitis. Surgical resection, regional debridement, and reconstruction were completed using a cadaveric arterial homograft. However, pathologic evaluation revealed a high-grade intimal sarcoma.

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