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The Annals of Thoracic Surgery, Vol 58, 1752-1754, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Aortic sarcoma four years after Dacron graft insertion

BS Fyfe, CS Quintana, M Kaneko and RB Griepp
Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, New York 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 pseudoaneurysm 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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