A case of lethal spontaneous massive hemothorax in a patient with neurofibromatosis 1

被引：0
作者：
Luisa Zacarias Föhrding
Timur Sellmann
Sebastian Angenendt
Detlef Kindgen-Milles
Stefan A Topp
Bernhard Korbmacher
Artur Lichtenberg
Wolfram T Knoefel
机构：
[1] Heinrich Heine University Düsseldorf,Department of General, Visceral and Paediatric Surgery
[2] Heinrich Heine University Düsseldorf,Department of Anesthesiology
[3] Heinrich Heine University Düsseldorf,Department of Cardiovascular Surgery
来源：
Journal of Cardiothoracic Surgery | / 9卷
关键词：
Neurofibromatosis type 1; Spontaneous hemothorax; Meningocele; Endovascular embolization;
D O I：
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学科分类号：
摘要：
Neurofibromatosis type 1 is an autosomal dominant disease characterized by multiple dermatological disorders amongst others. Among the less frequent manifestations are vascular abnormalities. Here, we present a case of spontaneous massive hemothorax in a 39-year-old Caucasian woman with neurofibromatosis 1 and a thoracic meningocele with a lethal outcome despite extensive surgical intervention as well as intensive care measures. Spontaneous hemothorax is a rare, but potentially lethal complication of neurofibromatosis type 1, which necessitates quick and decisive intervention; endovascular embolization where possible, otherwise aggressive surgical intervention in unstable patients.
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[1]  
Kipfer B(2001)Embolization of a ruptured intercostal artery aneurysm in type I neurofibromatosis Eur J Cardiothorac Surg 19 721-723
[2]  
Lardinois D(2007)Vascular abnormalities in patients with neurofibromatosis syndrome type I: clinical spectrum, management, and results J Vasc Surg 46 475-484
[3]  
Triller J(1974)The vascular lesions of neurofibromatosis Angiology 25 510-519
[4]  
Carrel T(2011)Chest wall bleeding with giant intrathoracic meningocele in neurofibromatosis type 1 Interact Cardiovasc Thorac Surg 12 328-330
[5]  
Oderich GS(1969)Intrathoracic meningocele. Its development and association with neurofibromatosis J Neurol Neurosurg Psychiatr 32 99-110
[6]  
Sullivan TM(1995)Thoracic and lumbar meningocele in neurofibromatosis type 1. Report of two cases and review of the literature Neurosurg Rev 18 127-134
[7]  
Bower TC(1996)Venous aneurysm, arterial dysplasia, and near-fatal hemorrhages in neurofibromatosis type 1 Hum Pathol 27 982-985
[8]  
Gloviczki P(2003)Spontaneous hemothorax associated with von Recklinghausen's disease Eur J Cardiothorac Surg 23 1062-1064
[9]  
Miller DV(1998)Hemothorax in type I neurofibromatosis Ann Thorac Surg 66 569-571
[10]  
Babovic-Vuksanovic D(1974)Arterial lesions associated with neurofibromatosis Am J Clin Pathol 62 481-487
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