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Ann Thorac Surg 2000;70:1713-1714
© 2000 The Society of Thoracic Surgeons

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Case report

Long-term survival after radical resection of a primary angiosarcoma of the innominate vein

^a Department of Surgery, Humboldt University Medical School, Campus Charité Mitte, Berlin, Germany
^b Department of Radiology, Humboldt University Medical School, Campus Charité Mitte, Berlin, Germany
^c Private Practice, Berlin, Germany

Address reprint requests to Dr Rückert, Department of Surgery, Humboldt University Medical School, Campus Charité Mitte, Schumannstr 20/21, D-10117 Berlin, Germany
e-mail: ralph-i.rueckert{at}charite.de

The case updated here demonstrates the longest survival that has been observed so far after radical resection of primary angiosarcoma of the left innominate vein, which is the second case that has ever been reported to date. Radical resection was performed after preoperative radiotherapy. The venous continuity was restored by expanded polytetrafluoroethylene graft interposition. This case underscores that the prognosis of primary venous sarcoma, though fatal in the majority of patients, may be better in individual cases when radical surgery with curative intention is achieved.

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