Intimal angiosarcoma causing abdominal aortic rupture

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Presentation transcript:

Intimal angiosarcoma causing abdominal aortic rupture Peter A. Naughton, MD, FRCSI, Michael Wandling, BS, Sachin Phade, MD, Manuel Garcia-Toca, MD, James C. Carr, MD, Heron E. Rodriguez, MD Journal of Vascular Surgery Volume 53, Issue 3, Pages 818-821 (March 2011) DOI: 10.1016/j.jvs.2010.10.090 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 An axial computed tomography angiogram of the abdomen demonstrates a retroperitoneal hematoma (star) and a pseudoaneurysm (arrow) arising from the infrarenal aorta. Journal of Vascular Surgery 2011 53, 818-821DOI: (10.1016/j.jvs.2010.10.090) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 An axial computed tomography angiogram of the abdomen demonstrates a second pseudoaneurysm (arrowhead) from an ectatic right common iliac artery. Journal of Vascular Surgery 2011 53, 818-821DOI: (10.1016/j.jvs.2010.10.090) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A coronal computed tomography angiogram of the abdomen demonstrates a retroperitoneal hematoma (star), a pseudoaneurysm (arrow) arising from the infrarenal aorta, and a second pseudoaneurysm (arrowhead) from an ectatic right common iliac artery. Journal of Vascular Surgery 2011 53, 818-821DOI: (10.1016/j.jvs.2010.10.090) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Hematoxylin-eosin staining of aortic wall with invasive intimal angiosarcoma (*; original magnification ×10) showed the neoplastic cells varied from round to ovoid in shape. The tumor cells contained small amounts of amphophilic cytoplasm and round-to-oval vesiculate nuclei with one to two magenta nucleoli. Mitoses were reasonably frequent. Journal of Vascular Surgery 2011 53, 818-821DOI: (10.1016/j.jvs.2010.10.090) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 A volume-rendered view of the postoperative computed tomography angiogram shows the proximal (curved arrow) and distal (straight arrow) anastomoses between the native arteries and the cadaveric arterial homograft. Journal of Vascular Surgery 2011 53, 818-821DOI: (10.1016/j.jvs.2010.10.090) Copyright © 2011 Society for Vascular Surgery Terms and Conditions