Key result
Aortic prosthesis, tumor removal, and chemotherapy treat obstructive descending aortic sarcoma in a 69-year-old man.
Why the study?
Primary malignant aortic tumors are rare, present a complex diagnostic and therapeutic dilemma due to varied clinical manifestations, and are often diagnosed postmortem.
Case Report (n=1)
Aortic sarcoma is a rare but important differential diagnosis for a large obstructive mass or thrombus in the aorta, which can be managed with palliative open aortic replacement and chemotherapy.
Answers are grounded in this paper and cite their sources.
Adds rare thoracic aortic sarcoma case to sparse literature; leaves open optimal diagnostic and therapeutic strategies.
Introduction: Primary malignant aortic tumors are rare and diagnosis can be difficult due to the variety of clinical manifestations. This malignant disease, which originates in the intima or medial layers of the aorta, presents a complex diagnostic and therapeutic dilemma. Due to their insidious growth and nonspecific symptoms, they are often diagnosed postmortem. Case Presentation: We present the case of a sarcoma of the descending part of thoracic aorta in a 69-year-old man. The initial symptoms were hypertension crisis, chest pain, shortness of breath, and swollen legs. A computed tomography scan of the chest and abdomen revealed an obstructive mass in the thoracic aorta. Treatment consisted of performing prosthesis of the thoracic aorta and removal of thrombi/tumor masses from the thoracoabdominal aorta and iliac artery on both sides, as well as chemotherapy. Conclusion: Aortic sarcoma should be recognized as a potential cause of a large thrombus in the aorta. Palliative procedures, including open aortic replacement, may also serve as alternative treatment options for aortic sarcoma.
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Orazymbetov et al. (2025) conducted a case report in Sarcoma of the descending aorta (n=1). Prosthesis of the thoracic aorta, removal of thrombi/tumor masses, and chemotherapy was evaluated. Prosthesis of the thoracic aorta, tumor removal, and chemotherapy were used to treat a 69-year-old man with an obstructive sarcoma of the descending aorta.
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