Aortic sarcoma mimicking a mycotic aneurysm in the thoracoabdominal aorta

Tatsuya Shimogawara, Shigeshi Ono, Kanako Kobayashi, Aya Sasaki, Hideyuki Shimizu, Junichi Matsui

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Aortic sarcoma is a rare primary tumor with dismal prognosis. Here, we report a case involving a 74-year-old female patient with aortic sarcoma masquerading as a mycotic aneurysm in the thoracoabdominal aorta. She underwent aortic resection with Dacron prosthetic graft replacement because of rapid growth. The postoperative pathological findings of the resected specimen confirmed the diagnosis of aortic mural sarcoma, which was an unexpected result based on repeat computed tomography angiography performed within 2 months preoperatively. The preoperative diagnosis of aortic sarcoma is often difficult because of its rarity, and this case demonstrates some of the diagnostic pitfalls.

Original languageEnglish
Pages (from-to)593-596
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Issue number4
Publication statusPublished - 2019 Dec


  • Aortic intimal sarcoma
  • Aortic mural sarcoma
  • Gastric sarcoma
  • Gastrointestinal metastasis
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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