Onitsuka Hirofumi, Nishida Takahiro, Akashi Koichi, Tominaga Ryuji
Department of Cardiovascular Surgery, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Eur J Cardiothorac Surg. 2014 May;45(5):942-4. doi: 10.1093/ejcts/ezt439. Epub 2013 Sep 4.
A 26-year-old male suffering from sudden right lower abdominal pain and lumbago was referred to our hospital. Enhanced computed tomography demonstrated bilateral kidneys and spleen infarctions, and a large tumour was found occupying the aortic arch and thoracic descending aorta. We suspected that these infarctions were due to tumour embolization. The aortic arch and thoracic descending aorta were resected with the tumour and then reconstructed using the L-incision technique. A microscopic examination revealed the presence of an intimal sarcoma. The patient was treated with adjuvant chemotherapy and showed a good postoperative course. Neither recurrence nor metastasis has been observed during the 3 years since the operation.
一名26岁男性因突发右下腹痛和腰痛被转诊至我院。增强计算机断层扫描显示双侧肾脏和脾脏梗死，并发现一个巨大肿瘤占据主动脉弓和胸降主动脉。我们怀疑这些梗死是由肿瘤栓塞引起的。将主动脉弓和胸降主动脉与肿瘤一并切除，然后采用L形切口技术进行重建。显微镜检查显示存在内膜肉瘤。该患者接受了辅助化疗，术后恢复良好。自手术以来的3年中未观察到复发或转移。
