Challenges in diagnosing aortic leiomyosarcoma post endovascular repair of abdominal aortic aneurysm

Sherif Sultan, MD; Mohamed Mustafa, MD; Fadel Bennani, MD; Emad Atteia, MS; Yogesh Acharya, MD; Niamh Hynes, MS, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2020)

Challenges in diagnosing aortic leiomyosarcoma post endovascular repair of abdominal aortic aneurysm

Sherif Sultan, MD,
Mohamed Mustafa, MD,
Fadel Bennani, MD,
Emad Atteia, MS,
Yogesh Acharya, MD,
Niamh Hynes, MS, MD

Affiliations

Sherif Sultan, MD: Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland Galway, Galway, Ireland; Department of Vascular Surgery and Endovascular Surgery, Galway Clinic, Doughiska, Royal College of Surgeons in Ireland and the National University of Ireland Galway Affiliated Hospital, Galway, Ireland; Correspondence: Sherif Sultan, MD, FRCS, FACS, PhD, Professor of Vascular Surgery, National University of Ireland Galway, Galway, Ireland
Mohamed Mustafa, MD: Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland Galway, Galway, Ireland
Fadel Bennani, MD: Department of Pathology, Mayo University Hospital, National University of Ireland Galway Affiliated Hospital, Galway, Ireland
Emad Atteia, MS: Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland Galway, Galway, Ireland
Yogesh Acharya, MD: Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland Galway, Galway, Ireland; Department of Vascular Surgery and Endovascular Surgery, Galway Clinic, Doughiska, Royal College of Surgeons in Ireland and the National University of Ireland Galway Affiliated Hospital, Galway, Ireland
Niamh Hynes, MS, MD: Department of Vascular Surgery and Endovascular Surgery, Galway Clinic, Doughiska, Royal College of Surgeons in Ireland and the National University of Ireland Galway Affiliated Hospital, Galway, Ireland

Journal volume & issue: Vol. 6, no. 4
pp. 666 – 670

Abstract

Read online

Primary aortic tumors after endovascular aortic repair are rarely reported in the literature. Here, we report an elderly male with abdominal aortic leiomyosarcomas (LMS) after an endovascular aneurysm repair in 2012 for a 5-cm symptomatic abdominal aortic aneurysm using an Endurant II aortic stent graft (Medtronic, Minneapolis, Minn). The autopsy confirmed the aortic LMS after the patient rapidly deteriorated and succumbed to death. The vascular LMS are rapidly progressive and diagnostically challenging malignant soft tissue tumors with poor prognosis, which necessitates a strong clinical suspicion and attentiveness to radiologic signs for prompt diagnosis.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

About the journal

Abstract

Keywords