Percutaneous Aortic Stent Placement for Life Threatening Aortic Rupture Due to Metastatic Germ Cell Tumor

Patricia J. Terry, Elizabeth E. Houser, Frank J. Rivera, Julio C. Palmaz, Michael F. Sarosdy

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Patients with testicular carcinoma frequently present with advanced disease and symptoms resulting from metastatic lesions. We report an unusual case of successful emergency management of a massive rupturing aortic pseudoaneurysm midway through systemic chemotherapy for stage III germ cell tumor by percutaneous trans-luminal placement of an aortic bypass stentgraft. Unstable hemorrhage was controlled, allowing our patient to complete chemotherapy and undergo elective retropertineal lymph node dissection with resection of the pseudoaneurysm and residual disease after normalization of tumor markers. Final pathological evaluation revealed only fibrosis in the resected tissue. Followup angiography demonstrated a patent stentgraft and the patient was without evidence of disease 1 year after retroperitoneal lymph node dissection.

Original languageEnglish (US)
Pages (from-to)1631-1634
Number of pages4
JournalThe Journal of urology
Volume153
Issue number5
DOIs
StatePublished - May 1995

ASJC Scopus subject areas

  • Urology

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