Angiosarcoma of a Femoropopliteal Bypass Thrombosed Vein Graft. (May 2022)

• Record Type: Journal Article
• Authors: Veterano, Carlos; Teixeira, Sérgio; Silva, Ivone; Coelho, Andreia; Almeida, Rui; Pinto, Pedro Sá
• Is Part Of: Vascular & endovascular surgery. Volume 56:Number 4(2022)
• Page Start: 448
• Page End: 453
• Publication Date: 2022-05
• Subjects: sarcoma -- chronic limb-threatening ischaemia -- revascularization -- vein; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/15385744221077824
• Languages: English
• ISSNs: 1538-5744

Abstract

Background: Angiosarcoma is a rare subtype of malignant vascular tumours which has been only anecdotally described in patients submitted to lower limb revascularization. Case presentation: This paper reports a patient previously submitted to a femoropopliteal bypass using autologous great saphenous vein (GSV). Nine years after the initial surgery, a primary angiosarcoma of the thrombosed vein graft was diagnosed, requiring en bloc surgical resection. Rampant metastatic spread was documented despite primary tumour surgical resection with a dismal outcome within months. Conclusions: Malignant transformation of autologous vein for lower limb revascularization is extremely rare and anecdotally described in the literature. It is a poorly studied complication with an aggressive behaviour. This report further reinforces the need for early recognition of this pathology.