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Primary intraaortic malignancy--a case report.

P Moeser, L M Perlmutt, J Moore

    Cardiovascular and Interventional Radiology
    |January 1, 1986
    PubMed
    Summary
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    Malignant arterial emboli are rare, often linked to lung cancers. This case highlights a primary aortic arch sarcoma presenting as arterial emboli, suggesting aortic malignancy suspicion in specific patient scenarios.

    Area of Science:

    • Vascular Surgery
    • Oncology
    • Diagnostic Imaging

    Background:

    • Malignant arterial emboli are infrequently documented in medical literature.
    • Most cases involve pulmonary malignancies invading systemic circulation through pulmonary veins.

    Observation:

    • A rare instance of a primary sarcoma originating in the aortic arch was identified.
    • This aortic sarcoma manifested clinically as malignant emboli.

    Findings:

    • The study presents a unique case of malignant emboli stemming from a primary aortic arch sarcoma.
    • This contrasts with the more common etiology of emboli secondary to pulmonary malignancies.

    Implications:

    • Suspicion of primary aortic malignancy is warranted in patients presenting with malignant emboli, normal chest radiographs, and no right-to-left shunt.

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  • Angiography is a recommended diagnostic tool for investigating suspected primary aortic malignancies in such clinical presentations.