Novel use of endoluminal repair as prophylaxis of aortic rupture secondary to radiotherapy for lung cancer.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21890305.
- Also identified by DOI 10.1016/j.jvs.2011.06.027.
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Abstract
Non-small-cell lung cancer (NSCLC) invading the aorta is staged as T(4). Only 9% of T(4) tumors are resected; the alternative is chemoradiotherapy, but for peri-aortic NSCLC, radiation damage to the aortic wall can induce fatal rupture. We report the case of a 76 year-old man with a 3-cm left lower lobe NSCLC clearly invading the aortic wall. A thoracic stent graft was inserted prophylactically to prevent aortic rupture. He then received 64 Gy radiotherapy in 32 fractions, resulting in tumor shrinkage. Prophylactic aortic endografting, a less invasive treatment than open surgery, may enable high dose irradiation of the aortic wall.
Medical subject headings
- Angioplasty
- Aortic Rupture
- Blood Vessel Prosthesis Implantation
- Carcinoma, Non-Small-Cell Lung
- Lung Neoplasms
- Stents