Key result
Total resection via L-incision plus chemotherapy achieves 3-year recurrence-free survival in aortic arch intimal sarcoma.
Case Report (n=1)
Total resection using the L-incision technique followed by adjuvant chemotherapy resulted in a 3-year recurrence-free survival in a young male with aortic arch intimal sarcoma.
L-incision enabled resection of extensive aortic tumor with embolization in this case; leaves open need for multicenter validation of technique and outcomes.
A 26-year-old male suffering from sudden right lower abdominal pain and lumbago was referred to our hospital. Enhanced computed tomography demonstrated bilateral kidneys and spleen infarctions, and a large tumour was found occupying the aortic arch and thoracic descending aorta. We suspected that these infarctions were due to tumour embolization. The aortic arch and thoracic descending aorta were resected with the tumour and then reconstructed using the L-incision technique. A microscopic examination revealed the presence of an intimal sarcoma. The patient was treated with adjuvant chemotherapy and showed a good postoperative course. Neither recurrence nor metastasis has been observed during the 3 years since the operation.
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Onitsuka et al. (2013) conducted a case report in Aortic arch intimal sarcoma (n=1). Total resection using the L-incision technique and adjuvant chemotherapy was evaluated on Recurrence or metastasis. Total resection of an aortic arch intimal sarcoma using the L-incision technique followed by adjuvant chemotherapy resulted in no recurrence or metastasis at 3 years post-operation.
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