Key result
Resection of rare thoracic aortic intimal sarcoma fails to prevent fatal metastases at 6 months.
Why the study?
Aortic sarcoma is rarely diagnosed but should be considered as a possible cause of hypertensive crisis.
Case Report (n=1)
No
Aortic sarcoma, although rare, should be considered as a potential etiology for hypertensive crisis.
Answers are grounded in this paper and cite their sources.
Aortic intimal sarcoma may present as hypertensive crisis; this Level 5 case leaves open standardized diagnostic and therapeutic strategies.
UNLABELLED: We report a 45-year-old woman who presented to our facility in a hypertensive crisis. Computed tomography (CT) revealed a thoracic aortic tumor, and tissues obtained via endovascular biopsy revealed undifferentiated sarcoma. A final diagnosis of intimal sarcoma was made by intra-operative pathological examination. Despite undergoing surgical resection followed by adjuvant chemotherapy, the patient died from progressive multiple metastasis and severe sepsis. Although aortic sarcoma is rarely diagnosed, it should be considered a possible etiology of hypertensive crisis.
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Lin et al. (2015) conducted a case report in Primary Intimal Sarcoma of Thoracic Aorta (n=1). Surgical resection and adjuvant chemotherapy was evaluated. A 45-year-old woman with a rare primary intimal sarcoma of the thoracic aorta presenting as a hypertensive crisis died from progressive multiple metastases 6 months after surgical resection.
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