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Hemothorax in type I neurofibromatosis
G P Teitelbaum1, R J Hurvitz, B C Esrig
1Department of Surgery, USC School of Medicine, Los Angeles, California 90033, USA. teitelba@uscuh.hsc.usc.edu
The Annals of Thoracic Surgery
|September 2, 1998
Summary
A ruptured aneurysm and arteriovenous fistula in the thyrocervical trunk caused life-threatening hemothorax in a neurofibromatosis patient. Endovascular coil embolization successfully treated this rare vascular complication.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Genetics
Background:
- Neurofibromatosis type I (NF1) is a genetic disorder associated with various vascular abnormalities.
- Aneurysms and arteriovenous fistulas are rare but serious complications of NF1.
Observation:
- A patient with NF1 presented with a life-threatening hemothorax.
- The hemothorax was caused by a ruptured aneurysm and arteriovenous fistula of the left thyrocervical trunk.
Findings:
- The ruptured thyrocervical trunk aneurysm and arteriovenous fistula were diagnosed as the cause of hemothorax.
- Endovascular coil embolization was performed as the treatment modality.
Implications:
- This case highlights the importance of considering vascular complications in NF1 patients presenting with unexplained bleeding.
- Endovascular embolization is a viable and effective treatment option for such rare vascular lesions.
- Early diagnosis and intervention can prevent life-threatening outcomes in patients with NF1-associated vascular anomalies.