Key result
Aggressive multidisciplinary resection and bypass achieves 3-year survival in primary aortic angiosarcoma despite recurrence.
Case Report (n=1)
Aggressive multidisciplinary management, including surgical resection and bypass, can achieve prolonged survival in rare cases of primary aortic angiosarcoma.
May support aggressive resection and bypass in select primary aortic angiosarcoma cases; hypothesis-generating and leaves generalizability open.
Primary aortic tumors are rare and include a variety of histologic types, including aortic angiosarcomas, with less than 100 cases being reported since the first description of these tumors in 1873. The diagnosis of aortic angiosarcoma is usually confirmed by postoperative histopathologic examination or postmortem study. We present a case of primary aortic angiosarcoma presenting with intermittent claudication and radiologic findings of aortoiliac atherosclerotic disease treated initially with stenting; lower extremity embolic skin metastases developed during follow-up that prompted resection of the aortic bifurcation and restoration of the arterial continuity with a bypass. Despite postresection recurrence, a 3-year survival was achieved with aggressive multidisciplinary management.
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Tsolakis et al. (2009) conducted a case report in Primary aortic angiosarcoma (n=1). Resection of the aortic bifurcation and restoration of arterial continuity with a bypass, and multidisciplinary management was evaluated on Survival. Aggressive multidisciplinary management including resection and bypass for primary aortic angiosarcoma achieved a 3-year survival despite postresection recurrence.
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