A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era

We report a case of periaortic lymphoma mimicking Stanford type B acute aortic dissection treated for impending rupture by thoracic endovascular aortic repair. Although no endoleak was detected, the aneurysm enlarged continuously. Repeat computed tomography scans showed that an aortic aneurysm-like...

Descripción completa

Detalles Bibliográficos
Autores principales: Imamura, Yuki, Kondo, Norihiro, Saito, Yoshiaki, Ogawa, Kaoru, Chiyoya, Mari, Fukuda, Ikuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751082/
https://www.ncbi.nlm.nih.gov/pubmed/33384736
http://dx.doi.org/10.3400/avd.cr.20-00019
_version_ 1783625602199191552
author Imamura, Yuki
Kondo, Norihiro
Saito, Yoshiaki
Ogawa, Kaoru
Chiyoya, Mari
Fukuda, Ikuo
author_facet Imamura, Yuki
Kondo, Norihiro
Saito, Yoshiaki
Ogawa, Kaoru
Chiyoya, Mari
Fukuda, Ikuo
author_sort Imamura, Yuki
collection PubMed
description We report a case of periaortic lymphoma mimicking Stanford type B acute aortic dissection treated for impending rupture by thoracic endovascular aortic repair. Although no endoleak was detected, the aneurysm enlarged continuously. Repeat computed tomography scans showed that an aortic aneurysm-like structure around the stent graft had enlarged irregularly. Histopathological examination revealed diffuse large B-cell malignant lymphoma. Post-chemotherapy, the aneurysm-like structure disappeared without any fistula or rupture. In open surgery, differentiating between aneurysms and malignancy is easy under direct vision; however, in the endovascular surgery era, this is a pitfall because no surgical specimen of the lesion can be obtained.
format Online
Article
Text
id pubmed-7751082
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
record_format MEDLINE/PubMed
spelling pubmed-77510822020-12-30 A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era Imamura, Yuki Kondo, Norihiro Saito, Yoshiaki Ogawa, Kaoru Chiyoya, Mari Fukuda, Ikuo Ann Vasc Dis Case Report We report a case of periaortic lymphoma mimicking Stanford type B acute aortic dissection treated for impending rupture by thoracic endovascular aortic repair. Although no endoleak was detected, the aneurysm enlarged continuously. Repeat computed tomography scans showed that an aortic aneurysm-like structure around the stent graft had enlarged irregularly. Histopathological examination revealed diffuse large B-cell malignant lymphoma. Post-chemotherapy, the aneurysm-like structure disappeared without any fistula or rupture. In open surgery, differentiating between aneurysms and malignancy is easy under direct vision; however, in the endovascular surgery era, this is a pitfall because no surgical specimen of the lesion can be obtained. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-09-25 /pmc/articles/PMC7751082/ /pubmed/33384736 http://dx.doi.org/10.3400/avd.cr.20-00019 Text en © 2020 The Editorial Committee of Annals of Vascular Diseases. http://creativecommons.org/licenses/by/2.5/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Imamura, Yuki
Kondo, Norihiro
Saito, Yoshiaki
Ogawa, Kaoru
Chiyoya, Mari
Fukuda, Ikuo
A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era
title A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era
title_full A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era
title_fullStr A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era
title_full_unstemmed A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era
title_short A Case of Periaortic Lymphoma Mimicking Complicated Type B Acute Aortic Dissection: A Pitfall in the Endovascular Surgery Era
title_sort case of periaortic lymphoma mimicking complicated type b acute aortic dissection: a pitfall in the endovascular surgery era
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751082/
https://www.ncbi.nlm.nih.gov/pubmed/33384736
http://dx.doi.org/10.3400/avd.cr.20-00019
work_keys_str_mv AT imamurayuki acaseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT kondonorihiro acaseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT saitoyoshiaki acaseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT ogawakaoru acaseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT chiyoyamari acaseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT fukudaikuo acaseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT imamurayuki caseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT kondonorihiro caseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT saitoyoshiaki caseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT ogawakaoru caseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT chiyoyamari caseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera
AT fukudaikuo caseofperiaorticlymphomamimickingcomplicatedtypebacuteaorticdissectionapitfallintheendovascularsurgeryera

Ejemplares similares