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Residual aneurysmal angiosarcoma diagnosed after pulmonary multiple nodules appeared post additional embolization for Type 2 Endoleak

التفاصيل البيبلوغرافية
العنوان: Residual aneurysmal angiosarcoma diagnosed after pulmonary multiple nodules appeared post additional embolization for Type 2 Endoleak
المؤلفون: Shuhei Azuma, Ryo Shimada, Kazuto Maeda, Shigeru Nakamura
المصدر: Annals of Vascular Surgery - Brief Reports and Innovations, Vol 4, Iss 3, Pp 100323- (2024)
بيانات النشر: Elsevier, 2024.
سنة النشر: 2024
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
LCC:Surgery
مصطلحات موضوعية: Multiple pulmonary nodules, Post-EVAR Angiosarcoma, Type 2 endoleak, Additional embolization, Diseases of the circulatory (Cardiovascular) system, RC666-701, Surgery, RD1-811
الوصف: We report the case of a 66-year-old man diagnosed with multiple pulmonary angiosarcomas 4 years post-endovascular aneurysm repair (EVAR). The patient was healthy with a good postoperative course, besides requiring additional coil embolization for a lumbar artery type 2 endoleak (T2EL) 3 years post-EVAR. He presented to the emergency department with sudden respiratory distress and severe anemia. Computed tomography (CT) revealed multiple pulmonary nodules bilaterally. Thoracoscopic pulmonary nodule resection and pathological examination revealed angiosarcoma. The condition progressed rapidly, and the patient died 17 days post-admission. Postmortem pathological analysis demonstrated angiosarcomas of the primary residual aneurysmal mass post-EVAR, inferior vena cava invasion adjacent to the mass, and multiple pulmonary metastases bilaterally. Findings suggestive of angiosarcoma were found 6 months post-T2EL coil embolization when reviewing the annual positron emission tomography CT. We suspect that irradiation during T2EL treatment post-EVAR may have triggered angiosarcoma development. To the best of our knowledge, this is the first study to evaluate the relationship between T2EL and angiosarcoma.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2772-6878
Relation: http://www.sciencedirect.com/science/article/pii/S2772687824000758; https://doaj.org/toc/2772-6878
DOI: 10.1016/j.avsurg.2024.100323
URL الوصول: https://doaj.org/article/4b798543ea4f491ca43d8d2b170029eb
رقم الانضمام: edsdoj.4b798543ea4f491ca43d8d2b170029eb
قاعدة البيانات: Directory of Open Access Journals
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