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Thorac Cardiovasc Surg. 2011 Apr;59(3):177-9. doi: 10.1055/s-0030-1250348. Epub 2011 Apr 8.

Intraluminal chondrosarcoma leading to occlusion of the brachiocephalic trunk.

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Department of Cardiovascular Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.


A 62-year-old female patient was admitted with temporary neurological symptoms. CT scan revealed occlusion of the brachiocephalic trunk by an intraluminal mass suspicious for a thrombus and extending into the ascending aorta. The patient underwent aortic arch replacement with reinsertion of the supraaortic vessels. A 5 × 3 × 4 cm large mass was found in the aorta which had obviously caused occlusion of the brachiocephalic trunk. The patient had an uneventful postoperative recovery and follow-up imaging showed no pathological findings. Histopathological examination revealed inhomogeneous chondroid tissue such as that found in a G2 grade bone chondrosarcoma.

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