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Ann Thorac Surg 1994;58:1752-1754
© 1994 The Society of Thoracic Surgeons

Articles

Aortic sarcoma four years after dacron graft insertion

Billie S. Fyfe, MD*, Cid S. Quintana, MD, Mamoru Kaneko, MD, Randall B. Griepp, MD

Lillian and Henry M. Stratton-Hans Popper Department of Pathology and the Department of Cardiovascular Surgery, Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, New York USA

Accepted for publication March 31, 1994.

* Address reprint requests to Dr Fyfe, Department of Pathology, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029.

Malignant fibrous histiocytoma of the aorta developed in a 70-year-old man 4 years after he had undergone repair of a type B aortic dissection with Dacron graft interposition. The tumor surrounded the graft externally and involved the adventitia of the aorta near the proximal anastomosis. Clinically and radiologically it mimicked a pseudoanourysm of the descending thoracic aorta. Primary aortic sarcomas are extremely uncommon and only rarely reported in association with prior aortic graft insertion.




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