Chronic abdominal aortic occlusion in a patient with an underdeveloped, irradiated pelvis after childhood treatment of Ewing Sarcoma

Chronic radiation-induced arterial injury is generally predictable by known tumor types and anatomic location. We present the first case of radiation-induced chronic aortic occlusion associated with a small pelvis secondary to the treatment of childhood Ewing sarcoma. The patient presented with prof...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-02, Vol.10 (1), p.101380, Article 101380
Main Authors: Will, Jack A., Bindi, Jonathan M., Crawford, John L., West, Charles A., Deitch, Johnathan S.
Format: Article
Language:English
Subjects:
Aortic reconstruction
Case report
Chronic abdominal aortic occlusion
Complex aortic disease
Ewing sarcoma
Radiation arteritis
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Summary:Chronic radiation-induced arterial injury is generally predictable by known tumor types and anatomic location. We present the first case of radiation-induced chronic aortic occlusion associated with a small pelvis secondary to the treatment of childhood Ewing sarcoma. The patient presented with profound claudication and accelerated atherosclerosis obliterans of the aortoiliac system and failed endovascular treatment. Successful aortic reconstruction was performed. This case highlights the long-term effects of chemoradiation to the aortoiliac segment and pelvic bones in a child, and the technical challenges of vascular reconstruction in an underdeveloped irradiated pelvis.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101380