Paraneoplatic Obstruction of Descending Thoracic Aorta: A New Indication for Endovascular Surgery?

We describe the rare case of a 61 years-old man, admitted in emergency to our department with visceral-organ and lower-limb malperfusion because an unknown retroperitoneal high grade undifferentiated pleomorphic sarcoma and a severe paraneoplastic obstruction of the descending thoracic aorta, treated with TEVAR The postoperative period was uneventful and patient was discharged within four days. At six- month follow-up CT scan showed complete patency of the descending thoracic aorta. This single case experience shows that TEVAR can be a less invasive and effective off-label alternative to exclude infiltrated and/or obstructed descending thoracic aorta avoiding conventional surgery.
PMID: 30610854 [PubMed - as supplied by publisher]

Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Di Tommaso L, Di Tommaso E, Giordano R, Iannelli G Tags: Ann Thorac Surg Source Type: research