Ruptured aortic aneurysm with previous endovascular aneurysm repair in a patient with high-grade angiosarcoma

Ruptured aortic aneurysms after endovascular repair is rare, particularly in the absence of type I or type III endoleaks. In such cases, a thorough investigation into the causes is imperative, including the consideration of an underlying malignancy. We report a case involving a 78-year-old woman who...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 10; no. 6; p. 101610
Main Authors Gegiia, Ievgen, Savoie-White, Félix H., Calabrino, Anthony, Dalens, Violaine, Rhéaume, Pascal, Boisvert, Annie
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2024
Elsevier
Subjects
Angiosarcoma
Aortic aneurysm rupture
Case report
Endovascular treatment
Endovascular treatment
Angiosarcoma
Aortic aneurysm rupture
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Summary:Ruptured aortic aneurysms after endovascular repair is rare, particularly in the absence of type I or type III endoleaks. In such cases, a thorough investigation into the causes is imperative, including the consideration of an underlying malignancy. We report a case involving a 78-year-old woman who experienced abdominal aortic aneurysm rupture 4 years after aortic endograft treatment. We explanted the endograft and performed aortobi-iliac bypass. Initial aortic thrombus pathological analysis revealed atherosclerosis. However, the patient returned 4 months later with multiple lesions suggestive of metastases, and a reevaluation of the pathology slides uncovered a diagnosis of angiosarcoma.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101610