12 June 2021
: Case report 
Aortic Angiosarcoma in Association with Endovascular Aneurysm Repair: Case Report and Review of the Literature
Rare disease
Kaori Takamura1ABCDEFG*, Hiroshi Kobayashi2ABCDEF, Brian P. Rubin3DEF, Shuhei Kondo1BCDF, Fuyuki Asami4BCD, Ryuji Aoyagi5BCD, Yoichi Ajioka1DGDOI: 10.12659/AJCR.931740
Am J Case Rep 2021; 22:e931740
Table 1. Clinical features of reported cases with aortic sarcoma associated with aortic prostheses.
| Author/Year | Reference | Sex | Age | Surgical procedures | Graft material | Site of aneurysm | Time to the tumor detection* |
|---|---|---|---|---|---|---|---|
| O’Connell TX, 1976 | 7 | M | 59 | AR | Dacron | AA | 4 ms |
| Weinberg DS, 1980 | 8 | M | 48 | AR | Dacron | TA | 14 ms |
| Fehrenbacher JW, 1981 | 9 | M | 67 | AR | Dacron | AA | 12 ys |
| Peterson HS, 1989 | 10 | M | 57 | AR | Dacron | TA | 6 ms |
| Weiss WM, 1991 | 11 | M | 56 | AR | Dacron | AA | 3 ys 6 ms |
| Fyfe BS, 1994 | 12 | M | 70 | AR | Dacron | TA | 4 ys |
| Ben-Izhak O, 1999 | 13 | M | 71 | AR | Dacron | AA | 8 ys |
| Okada M, 2004 | 14 | M | 50 | AR | Dacron | TA | 17 ys |
| Umscheid TW, 2007 | 15 | M | 50 | EVAR | Dacron | AA | 4 ys 8 ms |
| Alexander JJ, 2007 | 16 | M | 66 | AR | Dacron | AA | 16 ms |
| Garg N, 2012 | 17 | M | 56 | EVAR | Dacron | AA | 6 ys |
| Schmehl J, 2012 | 18 | M | 85 | EVAR | Dacron | AA | 7 ys |
| Stewart B, 2013 | 19 | M | 86 | EVAR | Dacron | AA | 9 ys |
| Fenton J, 2014 | 20 | M | 72 | EVAR | Dacron | AA | 6 ys |
| Kimura S, 2015 | 21 | M | 78 | AR | Dacron | TA | 16 ys |
| Milite D, 2016 | 22 | M | 60 | EVAR | PTFE | AA | 7 ys |
| Kamran M, 2016 | 23 | M | 69 | EVAR | N.D. | AA | 8 ys |
| Kamran M, 2016 | 23 | M | 77 | EVAR | N.D. | AA | N.D. |
| Kamran M, 2016 | 23 | F | 72 | EVAR | N.D. | AA | 6 ms |
| Whittington EA, 2019 | 24 | M | 78 | EVAR | ePTFE | AA | 10 ys |
| Yu PC, 2019 | 25 | M | 68 | EVAR | ePTFE | AA | 4 ys |
| Natsume K, 2019 | 26 | M | 54 | EVAR | Dacron | TA | 17 ys |
| Current case | F | 82 | EVAR | ePTFE | TA | 4 ys | |
| In site of aneurysm, descending aorta in thracic aorta and infrarenal aorta in abdominal aorta was most. * Time to the tumor detection after surgery; ** newly developed aneurysm; *** mass indicating a possible neoplasm. AR – aortic replacement with prosthetic graft; EVAR – endovascular aortic repair; N.D. – not described; ePTFE – expanded polytetrafluoroethylene; AA – abdominal aorta; TA – thoracic aorta; C – chemotherapy; R – radiation therapy; ms – months; ys – years. | |||||||
| Author/Year | Clinical diagnosis or suspicion | Mass*** | Organ metastasis | Treatment for sarcoma | |||
| Graft infection | Endoleak | Aneurysm**/pseudoaneurysm | |||||
| O’Connell TX, 1976 | No | C+R | |||||
| Weinberg DS, 1980 | Yes | No | No | ||||
| Fehrenbacher JW, 1981 | Yes | Lung, liver, penis | C+R | ||||
| Peterson HS, 1989 | Yes | N.D. | R | ||||
| Weiss WM, 1991 | Yes | Liver | C+R | ||||
| Fyfe BS, 1994 | Yes | No | No | ||||
| Ben-Izhak O, 1999 | Yes | Peritoneal dissemination | C | ||||
| Okada M, 2004 | Brain | No | |||||
| Umscheid TW, 2007 | Yes | Lung and other multiple organs | C | ||||
| Alexander JJ, 2007 | Yes | No | No | ||||
| Garg N, 2012 | Yes | Yes | Liver, lymph nodes | No | |||
| Schmehl J, 2012 | Yes | Yes | Bone | No | |||
| Stewart B, 2013 | Yes | Skin, bone | No | ||||
| Fenton J, 2014 | Yes | Yes | Bone | C+R | |||
| Kimura S, 2015 | Yes | Yes | N.D. | No | |||
| Milite D, 2016 | Yes | Yes | Peritoneal dissemination | No | |||
| Kamran M, 2016 | Yes | Yes | No | C+R | |||
| Kamran M, 2016 | Yes | Multiple organs | No | ||||
| Kamran M, 2016 | Yes | Yes | Gluteal musculature | C | |||
| Whittington EA, 2019 | Yes | Liver | No | ||||
| Yu PC, 2019 | Yes | Yes | Lymph nodes, possibly | C | |||
| Natsume K, 2019 | Kidney, bone | No | |||||
| Current case | Yes | Yes | No | No | |||
| In site of aneurysm, descending aorta in thracic aorta and infrarenal aorta in abdominal aorta was most. * Time to the tumor detection after surgery; ** newly developed aneurysm; *** mass indicating a possible neoplasm. AR – aortic replacement with prosthetic graft; EVAR – endovascular aortic repair; N.D. – not described; ePTFE – expanded polytetrafluoroethylene; AA – abdominal aorta; TA – thoracic aorta; C – chemotherapy; R – radiation therapy; ms – months; ys – years. | |||||||