Pleomorphic undifferentiated aortic sarcoma presenting as persistent endoleak after endovascular aneurysm repair Eric A. Whittington, MD, Lisa D. Duncan,

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Pleomorphic undifferentiated aortic sarcoma presenting as persistent endoleak after endovascular aneurysm repair Eric A. Whittington, MD, Lisa D. Duncan, MD, Michael M. McNally, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 3, Pages 294-297 (September 2019) DOI: 10.1016/j.jvscit.2019.04.006 Copyright © 2019 The Authors Terms and Conditions

Fig 1 Preoperative computed tomography angiography (CTA) image of infrarenal aortic aneurysm with aortic sarcoma. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 294-297DOI: (10.1016/j.jvscit.2019.04.006) Copyright © 2019 The Authors Terms and Conditions

Fig 2 Preoperative computed tomography angiography (CTA) image showing liver lesions reported as hepatic cysts. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 294-297DOI: (10.1016/j.jvscit.2019.04.006) Copyright © 2019 The Authors Terms and Conditions

Fig 3 Large exophytic neoplastic mass involving the retroperitoneum identified as an aortic sarcoma. The right of the image is the cranial direction. The red vessel loop is around the left renal vein. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 294-297DOI: (10.1016/j.jvscit.2019.04.006) Copyright © 2019 The Authors Terms and Conditions

Fig 4 Intraoperative aortic wall/retroperitoneal mass biopsy specimen showing pleomorphic sarcoma with spindle cell morphology, nuclear pleomorphism, and numerous mitoses (hematoxylin and eosin stain, magnification ×200). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 294-297DOI: (10.1016/j.jvscit.2019.04.006) Copyright © 2019 The Authors Terms and Conditions

Fig 5 Aortic biopsy specimen tumor cells positive for CD68 as denoted by brown staining (CD68 immunostain with hematoxylin counterstain, magnification ×100). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 294-297DOI: (10.1016/j.jvscit.2019.04.006) Copyright © 2019 The Authors Terms and Conditions