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Intimal angiosarcoma causing abdominal aortic rupture

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Presentation on theme: "Intimal angiosarcoma causing abdominal aortic rupture"— Presentation transcript:

1 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 (March 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 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  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 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  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

6 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  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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