Korean J Thorac Cardiovasc Surg.  2010 Oct;43(5):546-549.

Surgical Resection of a Posterior Mediastinal Tumor That Was Previously Treated with Aortic Stent-graft under the Misdiagnosis of Aortic Aneurysm: A case report

• Kim M
• Park KH
• Lim C
• Chung ES
• Lee H
• Choi JH

Abstract

A 70-year-old man was transferred to our center due to severe epigastric and back pain with the impression of a ruptured thoracic aortic aneurysm. Six months previously, he had undergone insertion of stent graft into the descending thoracic aorta at another hospital. The findings of the computed tomographic scan suggested a rapidly growing malignant mediastinal tumor rather than a ruptured aneurysm. Exploratory thoracotomy confirmed the diagnosis and the tumor was resected along with the portion of the aorta contained in it. This exemplary case should raise the concern against overzealous application of endovascular aortic repair.

Keyword

Aneurysm; Sarcoma; Stents; Aorta, thoracic

MeSH Terms

Aged
Aneurysm
Aneurysm, Ruptured
Aorta
Aorta, Thoracic
Aortic Aneurysm, Thoracic
Back Pain
Diagnostic Errors
Humans
Sarcoma
Stents
Thoracotomy
Transplants