Endovascular Treatment of Symptomatic Thoracic Aneurysm Due to Periaortic Lymphoma

Vasc Endovascular Surg. 2018 Jul;52(5):367-370. doi: 10.1177/1538574418762649. Epub 2018 Mar 11.

Abstract

An aggressive periaortic lymphoma could very rarely invade the aortic wall. We present a unique case of a patient with symptomatic thoracic aneurysm and imminent rupture due to the periaortic lymphoma, in which endovascular treatment using stent graft was applied. After stabilization of the aorta and histological confirmation of aggressive B-cell lymphoma by computed tomography-guided biopsy, the antilymphoma therapy was initiated. Despite the full treatment, the patient died 12 months later.

Keywords: aortic aneurysm; lymphoma; stent graft.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / pathology
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / pathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Computed Tomography Angiography
  • Disease Progression
  • Endovascular Procedures* / instrumentation
  • Fatal Outcome
  • Humans
  • Image-Guided Biopsy
  • Lymphoma, B-Cell / complications*
  • Lymphoma, B-Cell / diagnostic imaging
  • Lymphoma, B-Cell / drug therapy
  • Lymphoma, B-Cell / pathology
  • Male
  • Neoplasm Invasiveness
  • Positron Emission Tomography Computed Tomography
  • Stents
  • Treatment Outcome