Recurrent rupture of intercostal artery aneurysms in neurofibromatosis type 1

被引：21

作者：

Misao T. ^{[1
]}

Yoshikawa T. ^{[1
]}

Aoe M. ^{[1
]}

Ueda Y. ^{[2
]}

Yodoya M. ^{[3
]}

Sakurai J. ^{[3
]}

机构：

[1] Department of Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557

[2] Department of Internal Medicine, Kagawa Prefectural Central Hospital, Kagawa

[3] Department of Radiology, Kagawa Prefectural Central Hospital, Kagawa

来源：

General Thoracic and Cardiovascular Surgery | 2012年 / 60卷 / 3期

关键词：

Embolization; Intercostal artery aneurysm; Neurofibromatosis; Recurrence; Spontaneous hemothorax;

D O I：

10.1007/s11748-011-0806-0

中图分类号：

学科分类号：

摘要：

Vasculopathy associated with neurofibromatosis type 1 (NF-1) can cause a spontaneous hemothorax, which is an uncommon but life-threatening complication of the disease. We report a case of recurrent rupture of intercostal artery aneurysms in an NF-1 patient. A 40-year-old man with NF-1 suffered from a right spontaneous hemothorax. The bleeding source was not identified by dynamic contrast-enhanced computed tomography (CT), so he was initially treated by conservative therapy. However, repeated contrast CT revealed aneurysms of the right 10th intercostal artery. They were successfully occluded by transcatheter arterial embolization (TAE). Seven months afterward, he presented with sudden lower back pain and was diagnosed with a contralateral spontaneous hemothorax due to a ruptured aneurysm of the left 12th intercostal artery. TAE was successfully performed. © The Japanese Association for Thoracic Surgery 2012.

引用

页码：179 / 182

页数：3

共 9 条

[1]

Riccardi V.M., Neurofibromatosis: Past, present, and future, N Engl J Med, 324, pp. 1283-1285, (1991)

[2]

Riccardi V.M., Von recklinghausen neurofibromatosis, N Engl J Med, 305, pp. 1617-1627, (1981)

[3]

Brasfield R.D., Gupta T.K.D., Von Recklinghausen's disease: A clinicopathological study, Ann Surg, 175, pp. 86-104, (1972)

[4]

Ricacardi V.M., Neurofibromatosis: Phenotype, Natural History, and Pathogenesis, pp. 124-127, (1992)

[5]

Miura H., Taira O., Uchida O., Usuda J., Hirai S., Kato H., Spontaneous haemothorax associated with von Recklinghausen's disease: Review of occurrence in Japan, Thorax, 52, 6, pp. 577-578, (1997)

[6]

Greene J.F., Fitzwater J.E., Burgess J., Arterial lesions associated with neurofibromatosis, Am J Clin Pathol, 62, pp. 481-487, (1974)

[7]

Kipfer B., Lardinois D., Triller J., Carrel T., Embolization of a ruptured intercostal artery aneurysm in type I neurofibromatosis, European Journal of Cardio-thoracic Surgery, 19, 5, pp. 721-723, (2001)

[8]

Dominguez J., Sancho C., Escalante E., Morera J.R., Moya J.A., Bernat R., Percutaneous treatment of a ruptured intercostal aneurysm presenting as massive hemothorax in a patient with type I neurofibromatosis, Journal of Thoracic and Cardiovascular Surgery, 124, 6, pp. 1230-1232, (2002)

[9]

Fedoruk L.M., English J., Fradet G.J., Spontaneous hemothorax and neurofibromatosis: A review of a lethal combination, Asian Cardiovascular and Thoracic Annals, 15, 4, pp. 342-344, (2007)

← 1 →