Tanaka Mutsuo, Tabata Minoru, Shimokawa Tomoki, Takanashi Shuichiro
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu-si, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2010 Mar;10(3):462-3. doi: 10.1510/icvts.2009.226753. Epub 2009 Dec 29.
Aortic intimal sarcoma is rare and the prognosis is very poor. We experienced a case of ruptured aortic intimal sarcoma in the descending aorta. A 69-year-old man underwent an emergency operation for the rupture of descending aorta. The postoperative course was uneventful. The histological examination of aortic wall showed aortic intimal sarcoma. The patient developed a local recurrence and abdominal dissemination of the tumor three months after surgery. We report the case and discuss about the diagnosis and treatment of thoracic aortic intimal sarcoma.
主动脉内膜肉瘤罕见，预后极差。我们遇到一例降主动脉内膜肉瘤破裂的病例。一名69岁男性因降主动脉破裂接受了急诊手术。术后病程平稳。主动脉壁组织学检查显示为主动脉内膜肉瘤。患者术后三个月出现肿瘤局部复发及腹部播散。我们报告该病例并讨论胸主动脉内膜肉瘤的诊断和治疗。
