Key result
Emergency operation for a ruptured descending aorta due to aortic intimal sarcoma was initially successful, but the patient developed local recurrence and abdominal dissemination three months later.
Case Report (n=1)
No
Aortic intimal sarcoma is a rare cause of aortic rupture with a poor prognosis, characterized by rapid recurrence and dissemination even after successful emergency surgery.
Emergency repair of ruptured aortic intimal sarcoma yields only transient success; this case leaves open optimal systemic strategies for this rare entity.
Aortic intimal sarcoma is rare and the prognosis is very poor. We experienced a case of ruptured aortic intimal sarcoma in the descending aorta. A 69-year-old man underwent an emergency operation for the rupture of descending aorta. The postoperative course was uneventful. The histological examination of aortic wall showed aortic intimal sarcoma. The patient developed a local recurrence and abdominal dissemination of the tumor three months after surgery. We report the case and discuss about the diagnosis and treatment of thoracic aortic intimal sarcoma.
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Tanaka et al. (2009) conducted a case report in Ruptured aortic intimal sarcoma in the descending aorta (n=1). Emergency operation was evaluated on Postoperative course and tumor recurrence. Emergency operation for a ruptured descending aorta due to aortic intimal sarcoma was initially successful, but the patient developed local recurrence and abdominal dissemination three months later.
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