Wu Zhi-Yuan, Weng Lin-Qian, Chen Zuo-Guan, Chen Yue-Xin, Li Yong-Jun
Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China.
Department of Hematology, Beijing Hospital, National Center of Gerontology, Beijing 100730, China.
J Thorac Dis. 2018 Apr;10(4):E289-E295. doi: 10.21037/jtd.2018.03.77.
Aortic sarcoma is a rare entity. In this study, we report a case of a 56-year-old man with complaints of pain and numbness of bilateral lower extremities. An endovascular aortic repair was finally adopted to prevent recurrent embolic events. An endo-biopsy was performed and showed aortic sarcoma. Axillary bifemoral and femoro-femoral cross-over bypass surgeries were taken to supply blood to the lower extremities in the 6th month after the first operation. He finally passed away in the 37th month. Aortic sarcoma should be taken into consideration as one of the possible etiologies for massive thrombus in aorta. Palliative surgeries such as bypass, endovascular aortic repair can also be an alternative to treat aortic sarcoma.
主动脉肉瘤是一种罕见的疾病。在本研究中，我们报告了一例56岁男性患者，其主诉为双下肢疼痛和麻木。最终采用了血管腔内主动脉修复术以预防复发性栓塞事件。进行了内镜活检，结果显示为主动脉肉瘤。在首次手术后的第6个月，进行了腋双股和股股交叉旁路手术以向下肢供血。他最终在第37个月去世。主动脉肉瘤应被视为主动脉内大量血栓形成的可能病因之一。诸如旁路手术、血管腔内主动脉修复术等姑息性手术也可作为治疗主动脉肉瘤的一种选择。
