Key result
Embolectomy and conservative management of a 59-year-old male with an infiltrating thoracic aortic angiosarcoma presenting as acute mesenteric ischemia maintained good quality of life for 8 months.
Why the study?
Primary malignant aortic tumors are rare, aggressive, and usually diagnosed at advanced stages, leaving the optimal medical and surgical treatment unclear.
Case Report (n=1)
No
Primary malignant aortic tumors are rare and aggressive, often presenting with embolic complications like acute mesenteric ischemia, and have a poor prognosis despite surgical intervention.
Successful embolectomy in advanced aortic angiosarcoma; leaves open graft replacement for localized disease.
Primary malignant aortic tumors are rare and aggressive. Most cases are diagnosed at advanced stages or during autopsies with a median overall survival of 8 months from diagnosis. We present the case of a 59-year-old male with angiosarcoma involving all segments of the thoracic aorta and a large floating thrombus causing acute mesenteric ischemia, which was treated successfully with embolectomy. Graft replacement of the aorta should be considered in cases of localized disease and when patients are fit for surgery. The best medical and surgical treatment remains unclear, and further studies are needed.
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Deiana et al. (2021) conducted a case report in Angiosarcoma of the thoracic aorta (n=1). Embolectomy and conservative management was evaluated on Survival and symptom relief. Embolectomy and conservative management of a 59-year-old male with an infiltrating thoracic aortic angiosarcoma presenting as acute mesenteric ischemia maintained good quality of life for 8 months.
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