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Primary angiosarcoma of the aorta, great vessels, and the heart

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1 Primary angiosarcoma of the aorta, great vessels, and the heart
Javairiah Fatima, MD, Audra A. Duncan, MD, Joseph J. Maleszewski, MD, Manju Kalra, MD, Gustavo S. Oderich, MD, Peter Gloviczki, MD, Rakesh M. Suri, MD, DPhil, Thomas C. Bower, MD  Journal of Vascular Surgery  Volume 57, Issue 3, Pages (March 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Anatomic distribution of the tumor: seven were aortic in origin, five cardiac, and one from the pulmonary artery (PA). AA, Abdominal aorta; DTA, descending thoracic aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Pseudocoarctation of the aorta secondary to an intraluminal mass. B, Synthetic graft replacement of the ascending aortic arch and upper half of the descending thoracic aorta with three-dimensional computed tomographic (CT) reconstruction postoperatively. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Advanced atherosclerotic changes with mural thrombus protruding into the aortic lumen resulting in >50% luminal narrowing in the lower descending thoracic aorta. B, Patient underwent replacement of infrarenal abdominal aorta with Dacron graft and transaortic thrombectomy of descending thoracic aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Computed tomographic (CT) scan of the chest showing near occlusion of the main pulmonary artery (PA) with mass extending into the left PA. The mass was excised en bloc with the PA wall, followed by reconstruction with bovine pericardial patch. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Intraoperative photograph of the angiosarcoma.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions


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