Percutaneous Treatment of Multiple Recurrent Thromboembolization from a Descending Thoracic Aortic Intimal Sarcoma

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• 作者：Angelina S. June¹ ; Donald G. Harris¹ ; ^{dharris@smail.umaryland.edu} ; Christine Yoo² ; Danon Garrido¹ ; Shahab Toursavadkohi¹ ; ³ ; Rajabrata Sarkar¹ ; ³ ; Robert S. Crawford¹ ; ³
• 刊名：Annals of Vascular Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：38
• 期：Complete
• 页码：321.e5-321.e8
• 全文大小：1233 K
• 卷排序：38

文摘

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.