Percutaneous Treatment of Multiple Recurrent Thromboembolization from a Descending Thoracic Aortic Intimal Sarcoma
Aortic intimal sarcomas are rare tumors that may result in distal embolic ischemia. Here, we present a patient who presented with crescendo lower extremity and mesenteric ischemic events from malignant macroembolism. Management with percutaneous pharmacomechanical thromboembolectomy enabled restorat...
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| Veröffentlicht in: | Annals of vascular surgery 2017-01, Vol.38, p.321.e5-321.e8 |
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| container_end_page | 321.e8 |
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| container_title | Annals of vascular surgery |
| container_volume | 38 |
| creator | June, Angelina S Harris, Donald G Yoo, Christine Garrido, Danon Toursavadkohi, Shahab Sarkar, Rajabrata Crawford, Robert S |
| description | Aortic intimal sarcomas are rare tumors that may result in distal embolic ischemia. Here, we present a patient who presented with crescendo lower extremity and mesenteric ischemic events from malignant macroembolism. Management with percutaneous pharmacomechanical thromboembolectomy enabled restoration of distal perfusion and minimally invasive collection of tumor sample to confirm the suspected diagnosis of aortic sarcoma. The patient underwent definitive aortectomy and reconstruction and is recovering well. |
| doi_str_mv | 10.1016/j.avsg.2016.06.036 |
| format | Article |
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Here, we present a patient who presented with crescendo lower extremity and mesenteric ischemic events from malignant macroembolism. Management with percutaneous pharmacomechanical thromboembolectomy enabled restoration of distal perfusion and minimally invasive collection of tumor sample to confirm the suspected diagnosis of aortic sarcoma. The patient underwent definitive aortectomy and reconstruction and is recovering well.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2016.06.036</identifier><identifier>PMID: 27671453</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aorta, Thoracic - diagnostic imaging ; Aorta, Thoracic - pathology ; Aorta, Thoracic - surgery ; Aortography - methods ; Biopsy ; Blood Vessel Prosthesis Implantation ; Computed Tomography Angiography ; Embolectomy - methods ; Female ; Humans ; Mesenteric Ischemia - diagnostic imaging ; Mesenteric Ischemia - etiology ; Mesenteric Ischemia - pathology ; Mesenteric Ischemia - surgery ; Middle Aged ; Neoplastic Cells, Circulating - pathology ; Recurrence ; Sarcoma - complications ; Sarcoma - diagnostic imaging ; Sarcoma - pathology ; Sarcoma - surgery ; Surgery ; Thrombectomy - methods ; Thromboembolism - diagnostic imaging ; Thromboembolism - etiology ; Thromboembolism - pathology ; Thromboembolism - surgery ; Treatment Outcome ; Tunica Media - diagnostic imaging ; Tunica Media - pathology ; Tunica Media - surgery ; Vascular Neoplasms - complications ; Vascular Neoplasms - diagnostic imaging ; Vascular Neoplasms - pathology ; Vascular Neoplasms - surgery</subject><ispartof>Annals of vascular surgery, 2017-01, Vol.38, p.321.e5-321.e8</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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Here, we present a patient who presented with crescendo lower extremity and mesenteric ischemic events from malignant macroembolism. Management with percutaneous pharmacomechanical thromboembolectomy enabled restoration of distal perfusion and minimally invasive collection of tumor sample to confirm the suspected diagnosis of aortic sarcoma. The patient underwent definitive aortectomy and reconstruction and is recovering well.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>27671453</pmid><doi>10.1016/j.avsg.2016.06.036</doi><orcidid>https://orcid.org/0000-0002-5059-5597</orcidid></addata></record> |
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| subjects | Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - pathology Aorta, Thoracic - surgery Aortography - methods Biopsy Blood Vessel Prosthesis Implantation Computed Tomography Angiography Embolectomy - methods Female Humans Mesenteric Ischemia - diagnostic imaging Mesenteric Ischemia - etiology Mesenteric Ischemia - pathology Mesenteric Ischemia - surgery Middle Aged Neoplastic Cells, Circulating - pathology Recurrence Sarcoma - complications Sarcoma - diagnostic imaging Sarcoma - pathology Sarcoma - surgery Surgery Thrombectomy - methods Thromboembolism - diagnostic imaging Thromboembolism - etiology Thromboembolism - pathology Thromboembolism - surgery Treatment Outcome Tunica Media - diagnostic imaging Tunica Media - pathology Tunica Media - surgery Vascular Neoplasms - complications Vascular Neoplasms - diagnostic imaging Vascular Neoplasms - pathology Vascular Neoplasms - surgery |
| title | Percutaneous Treatment of Multiple Recurrent Thromboembolization from a Descending Thoracic Aortic Intimal Sarcoma |
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