Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma

Purpose: To present a case of spontaneous aortic rupture in the course of mantle cell lymphoma and successful management with endovascular repair. Case Report: A 69-year-old woman presented with a cervical mass. The patient was found to have stage IIIA and Mantle Cell Lymphoma International Prognost...

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Main Authors: A.T. Sumbul, F. Kose, L. Oğuzkurt, C. Karadeniz, N.E. Kocer, O. Ozyilkan
Format: Article
Language:English
Published: Karger Publishers 2012-05-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/339227
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author A.T. Sumbul
F. Kose
L. Oğuzkurt
C. Karadeniz
N.E. Kocer
O. Ozyilkan
author_facet A.T. Sumbul
F. Kose
L. Oğuzkurt
C. Karadeniz
N.E. Kocer
O. Ozyilkan
author_sort A.T. Sumbul
collection DOAJ
description Purpose: To present a case of spontaneous aortic rupture in the course of mantle cell lymphoma and successful management with endovascular repair. Case Report: A 69-year-old woman presented with a cervical mass. The patient was found to have stage IIIA and Mantle Cell Lymphoma International Prognostic Index (MIPI) 4. She was placed in an intermediate-risk group. The patient received an initial cycle of systemic chemotherapy consisting of rituximab, anthracycline, vincristine and methyl prednisolone. During follow-up, she developed abdominal aortic rupture secondary to intramural hematoma which was successfully managed with endovascular exclusion. Conclusion: Hemodynamic changes can be seen during the course of lymphoma subsequent to systemic chemotherapy. These changes might be related to the spontaneous rupture of the main vessels. Endovascular repair may be a more appropriate treatment option than open surgery, especially in a patient with multiple comorbidities.
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spelling doaj.art-4afa31b246c84aefb6216491089e623c2022-12-22T03:31:35ZengKarger PublishersCase Reports in Oncology1662-65752012-05-015227527910.1159/000339227339227Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell LymphomaA.T. SumbulF. KoseL. OğuzkurtC. KaradenizN.E. KocerO. OzyilkanPurpose: To present a case of spontaneous aortic rupture in the course of mantle cell lymphoma and successful management with endovascular repair. Case Report: A 69-year-old woman presented with a cervical mass. The patient was found to have stage IIIA and Mantle Cell Lymphoma International Prognostic Index (MIPI) 4. She was placed in an intermediate-risk group. The patient received an initial cycle of systemic chemotherapy consisting of rituximab, anthracycline, vincristine and methyl prednisolone. During follow-up, she developed abdominal aortic rupture secondary to intramural hematoma which was successfully managed with endovascular exclusion. Conclusion: Hemodynamic changes can be seen during the course of lymphoma subsequent to systemic chemotherapy. These changes might be related to the spontaneous rupture of the main vessels. Endovascular repair may be a more appropriate treatment option than open surgery, especially in a patient with multiple comorbidities.http://www.karger.com/Article/FullText/339227Systemic chemotherapyAbdominal aortic ruptureLymphomaEndovascular stent-graft repair
spellingShingle A.T. Sumbul
F. Kose
L. Oğuzkurt
C. Karadeniz
N.E. Kocer
O. Ozyilkan
Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma
Case Reports in Oncology
Systemic chemotherapy
Abdominal aortic rupture
Lymphoma
Endovascular stent-graft repair
title Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma
title_full Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma
title_fullStr Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma
title_full_unstemmed Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma
title_short Successful Treatment of Aortic Rupture with Endovascular Stent Grafting in a Patient with Mantle Cell Lymphoma
title_sort successful treatment of aortic rupture with endovascular stent grafting in a patient with mantle cell lymphoma
topic Systemic chemotherapy
Abdominal aortic rupture
Lymphoma
Endovascular stent-graft repair
url http://www.karger.com/Article/FullText/339227
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