Intimal sarcoma in an inflammatory aneurysm after endovascular aneurysm repair.

Garg, Nitin; Lewis, Mark A; Maleszewski, Joseph J; Kalra, Manju · J Vasc Surg · 2012

case_report · Level V

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Abstract

Long-term outcomes after endovascular aneurysm repair (EVAR) for inflammatory aneurysms are unknown. We present a young patient with new-onset back pain and failure to thrive 6 years after EVAR for an inflammatory abdominal aortic aneurysm (AAA). Endograft explanation was performed with a presumed diagnosis of infection. Pathology revealed intimal sarcoma in the excluded aneurysm sac with liver metastasis. This report presents a detailed review of literature regarding potential association of prosthetic implantation and carcinogenesis.

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