Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Suspected Intimal Sarcoma in the Abdominal Aorta -A case report-

복부 대동맥에 발생한 혈관 내막 육종 의증 - 1예 보고 -

  • Choi, Eun-Seok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Kyung-Hwan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Lee, Jae-Hang (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Hwang, Ho-Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Ki-Bong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • 최은석 (서울대학교병원 흉부외과) ;
  • 김경환 (서울대학교병원 흉부외과) ;
  • 최진호 (서울대학교병원 흉부외과) ;
  • 이재항 (서울대학교병원 흉부외과) ;
  • 황호영 (서울대학교병원 흉부외과) ;
  • 김기봉 (서울대학교병원 흉부외과)
  • Received : 2009.10.20
  • Accepted : 2009.12.15
  • Published : 2010.04.05
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Abstract

A 68 year-old man visited our institution due to chest pain. Coronary angiography revealed triple vessel disease. A computed tomographic angiogram performed as a routine preoperative examination demonstrated an intraluminal spider-web-like mass from the infrarenal abdominal aorta to both common iliac arteries. The infrarenal aorta and both common iliac arteries were excised and replaced with concomitant off-pump coronary artery bypass grafts. Histologic examination of the aorta suggested an intimal sarcoma. A postoperative computed tomographic angiogram performed 3 months postoperatively showed no evidence of a residual or a recurred lesion.

68세 남자 환자가 흉통을 주소로 내원하여 시행한 심혈관 조영술에서 삼 혈관 질환이 발견되어 관상동맥 우회술을 계획하였다. 수술 전 검사로 시행한 컴퓨터 단층촬영 혈관 조영술에서 신동맥하 복부 대동맥부터 양측 총장골동맥에 걸친 거미줄 모양의 혈관 내 종괴가 발견되었다. 대동맥내 혈관 내막육종을 의심하고 심폐바이패스를 사용하지 않는 관상동맥 우회술과 함께 신동맥하 복부 대동맥과 양측 총장골동맥을 절제 후 치환하는 수술을 시행하였다. 병리검사 소견에서 대동맥 내 병변은 혈관 내막 육종이 의심되었다. 수술 후 3개월에 시행한 컴퓨터 단층촬영 혈관 조영술에서 잔존 또는 재발의 증거는 없었다.

Keywords

References

  1. Thalheimer A, Fein M, Geissinger E, Franke S. Intimal angiosarcoma of the aorta: report of a case and review of the literature. J Vasc Surg 2004;40:548-53 https://doi.org/10.1016/j.jvs.2004.06.035
  2. Sebenik M, Ricci A, Dipasquale B, et al. Undifferentiated intimal sarcoma of large systemic blood vessels. Am J Surg Pathol 2005;29:1184-93 https://doi.org/10.1097/01.pas.0000159774.70288.7d
  3. sarcoma of the infrarenal aorta: report of a rare single case and review of the literature. Eur J Vasc Endovasc Surg 2004;7:76-80
  4. Becquemin JP, Lebbe C, Saada F, Avril MF. Sarcoma of the aorta: Report of a case and review of the literature. Ann Vasc Surg 1988;2:225-30 https://doi.org/10.1016/S0890-5096(07)60005-3
  5. Kim SH, Jeong JY, Kim YI, Choi YH, Chung JW, Park JH. SCVIR 2002 film panel case 3: aortic occlusion secondary to intimal sarcoma. J Vasc Interv Radiol 2002;13:537-41 https://doi.org/10.1016/S1051-0443(07)61538-3
  6. Majeski J, Crawford S, Majeski EI, Duttenhaver JR. Primary aortic intimal sarcoma of the endothelial type with long-term survival. J Vasc Surg 1998;27:555-8 https://doi.org/10.1016/S0741-5214(98)70333-7