Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.004117
Jornal Vascular Brasileiro
Case Report

Angiossarcoma mimetizando endoleak tardio pós-reparo endovascular de aneurisma de aorta infrarrenal: relato de caso

Angiosarcoma mimicking a late endoleak following endovascular aneurysm repair: case report

Bruno Lorenção de Almeida, Vinicius Pena Caria, Sthefanie Fauve Andrade Cavalcante, Felipe Carvalho Ventin, Eduardo Augusto Moreira Vieira, Eduardo Mulinari Darold, Rodrigo Américo Cunha de Souza, Edmur Carlos Araújo

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Resumo

Em todo paciente submetido a reparo endovascular do aneurisma de aorta abdominal (REVA) que se apresente subitamente com quadro de dor abdominal ou sinais de choque, a hipótese de endoleak ou vazamento, com expansão do aneurisma e ruptura deve ser aventada. Apresentamos o caso de um paciente em pós-operatório de REVA que apresentou uma neoplasia de duodeno mimetizando um endoleak.

Palavras-chave

angiossarcoma; endoleak; aneurisma.

Abstract

Whenever a patient who has undergone endovascular repair of an abdominal aortic aneurysm (EVAR) presents with sudden onset abdominal pains or signs of shock, the hypothesis of endoleak with aneurysm expansion and rupture should be considered. We present the case of an EVAR patient in whom a tumor of the duodenum mimicked an endoleak during the postoperative period.

Keywords

angiosarcoma; endoleak; anerysm.

References

1. Cieri E, De Rango P, Isernia G, et al. Type II endoleak: an ambiguous and unpredictable marker of worse outcome after EVAR. J Vasc Surg. 2013;57(5):89S-90S. http://dx.doi.org/10.1016/j.jvs.2013.02.212.

2. Cieri E, De Rango P, Isernia G, et al. Type II endoleak is an enigmatic and unpredictable marker of worse outcome after endovascular aneurysm repair. J Vasc Surg. 2014;59(4):930-7. PMid:24368040. http://dx.doi.org/10.1016/j.jvs.2013.10.092.

3. Parry DJ, Kessel DO, Robertson I, et al. Type II endoleaks: predictable, preventable and sometimes treatable? J Vasc Surg. 2002;36(1):105-10. PMid:12096266. http://dx.doi.org/10.1067/mva.2002.125023.

4. Aun R, Saes GF, Tachibana A, et al. Growth of abdominal aortic aneurysm after endoluminal repair. J Vasc Bras. 2004;3(4):387-9.

5. Chernyak V, Rozenblit AM, Patlas M, et al. Type II endoleak after endoaortic graft implantation: diagnosis with helical CT arteriography. Radiology. 2006;240(3):885-93. PMid:16868280. http://dx.doi.org/10.1148/radiol.2403051013.

6. Liu DSH, Smith H, Lee MMW, Djeric M. Small intestinal angiosarcoma masquerading as an appendiceal abscess. Ann R Coll Surg Engl. 2013;95(1):e22-4. PMid:23317721. http://dx.doi.org/10.1308/003588413X13511609955373.

7. Rand T, Uberoi R, Cil B, Munneke G, Tsetis D. Quality improvement guidelines for imaging detection and treatment of endoleaks following Endovascular Aneurysm Repair (EVAR). Cardiovasc Intervent Radiol. 2013;36(1):35-45. PMid:22833173. http://dx.doi.org/10.1007/s00270-012-0439-4.

8. Habets J, Zandvoort HJ, Reitsma JB, et al. Magnetic resonance imaging is more sensitive than computed tomography angiography for the detection of endoleaks after endovascular abdominal aortic aneurysm repair: a systematic review. Eur J Vasc Endovasc Surg. 2013;45(4):340-50. PMid:23403221. http://dx.doi.org/10.1016/j.ejvs.2012.12.014.

9. Kumasaka S, Okauchi K, Taketomi-Takahashi A, Higuchi T, Tsushima Y. Angiosarcoma: review of CT and MR imaging features. In: Proceedings of the European Congress of Radiology; 2014; Vienna. Vienna: ESR; 2014. p. 1-10.

10. Ramjee V, Ellozy S. Aortic angiosarcoma masquerading as a thoracic aortic aneurysm. J Vasc Surg. 2009;50(6):1477-80. PMid:19703752. http://dx.doi.org/10.1016/j.jvs.2009.06.015.

11. Hales SL, Locke R, Sandison A, Jenkins M, Hamady M. Aortic angiosarcoma: a rare cause of leaking thoracic aneurysm. Cardiovasc Intervent Radiol. 2011;34(Suppl 2):s20-4. PMid:20145931. http://dx.doi.org/10.1007/s00270-009-9776-3.

12. Naughton PA, Wandling M, Phade S, Garcia-Toca M, Carr JC, Rodriguez HE. Intimal Angiosarcoma causing abdominal aortic rupture. J Vasc Surg. 2011;53(3):818-21. PMid:21215575. http://dx.doi.org/10.1016/j.jvs.2010.10.090.

13. Karamlou T, Li MK, Williamson K, Heller L, Wiest JW. Angiosarcoma of the Thoracoabdominal Aorta presenting with sistemic hypertension, anemia and visceral ischemia. Ann Vasc Surg. 2008;22(3):459-64. PMid:18367372. http://dx.doi.org/10.1016/j.avsg.2007.09.010.

14. Kimura S, Yonekura R, Umesue M. Angiosarcoma mimicking an infected pseudoaneurysm after graft replacement. Ann Thorac Surg. 2015;100(3):1114. PMid:26354649. http://dx.doi.org/10.1016/j.athoracsur.2015.05.084.

15. Brand KG. Diversity and complexity of carcinogenic processes: conceptual inferences from foreign-body tumori-genesis. J Natl Cancer Inst. 1976;57(5):973-6. PMid:794503. http://dx.doi.org/10.1093/jnci/57.5.973.

16. Milite D, Pilon F, Ferrari A, Danieli D, Desole A. Aortic epithelioid angiosarcoma after endovascular aneuysm repair. Ann Vasc Surg. 2016;35:207e17-207.e21, e21. PMid:27238982. http://dx.doi.org/10.1016/j.avsg.2016.02.014.

17. Fenton J, Veenstra M, Bove P. Angiosarcoma involving native abdominal aortic aneurysm sac after endograft repair. Ann Vasc Surg. 2014;28(2):490e1-490.e4, e4. PMid:24200136. http://dx.doi.org/10.1016/j.avsg.2013.03.016.

18. Shah S, Rosa M. Radiation-associated angiosarcoma of the breast. Clinical and pathologic features. Arch Pathol Lab Med. 2016;140(5):477-81. PMid:27128306. http://dx.doi.org/10.5858/arpa.2014-0581-RS.

19. Motaganahalli R, Martin A, Feliciano B, Murphy MP, Slaven J, Dalsing MC. Estimating the risk of solid organ malignancy in patients undergoing routine computed tomography scans after endovascular aneurysm repair. J Vasc Surg. 2012;56(4):929-37. PMid:22784414. http://dx.doi.org/10.1016/j.jvs.2012.02.061.

20. Singla S, Papavasiliou P, Powers B, et al. Challenges in the treatment of angiosarcoma: a single institution experience. Am J Surg. 2014;208(2):254-9. PMid:24811931. http://dx.doi.org/10.1016/j.amjsurg.2014.01.007.

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