Skip to main content
SpringerLink
Log in

Recurrent rupture of intercostal artery aneurysms in neurofibromatosis type 1

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Riccardi VM. Neurofibromatosis: past, present, and future. N Engl J Med 1991;324:1283–1285.

    Article  PubMed  CAS  Google Scholar 

  2. Riccardi VM. Von Recklinghausen neurofibromatosis. N Engl J Med 1981;305:1617–1627.

    Article  PubMed  CAS  Google Scholar 

  3. Brasfield RD, Gupta TKD. Von Recklinghausen’s disease: a clinicopathological study. Ann Surg 1972;175:86–104.

    Article  PubMed  CAS  Google Scholar 

  4. Ricacardi VM. Neurofibromatosis: phenotype, natural history, and pathogenesis. Baltimore: Johns Hopkins University Press; 1992. p. 124–127.

    Google Scholar 

  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 1997;52:577–578.

    Article  PubMed  CAS  Google Scholar 

  6. Greene JF, Fitzwater JE, Burgess J. Arterial lesions associated with neurofibromatosis. Am J Clin Pathol 1974;62:481–487.

    PubMed  Google Scholar 

  7. Kipfer B, Lardinois D, Triller J, Carrel T. Embolization of a ruptured intercostal artery aneurysm in type I neurofibromatosis. Eur J Cardiothorac Surg 2001;19:721–723.

    Article  PubMed  CAS  Google Scholar 

  8. Dominguez J, Sancho C, Escalante E, Morera JR, Moya JA, Bernat R. Percutaneous treatment of a ruptured intercostal aneurysm presenting as massive hemothorax in a patient with type I neurofibromatosis. J Thorac Cardiovasc Surg 2002;124: 1230–1232.

    Article  PubMed  CAS  Google Scholar 

  9. Fedoruk LM, English J, Fradet GJ. Spontaneous hemothorax and neurofibromatosis: a review of a lethal combination. Asian Cardiovasc Thorac Ann 2007;15:342–344.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu, Kagawa, 760-8557, Japan

    Takahiko Misao, Takeshi Yoshikawa & Motoi Aoe

  2. Department of Internal Medicine, Kagawa Prefectural Central Hospital, Kagawa, Japan

    Yutaka Ueda

  3. Department of Radiology, Kagawa Prefectural Central Hospital, Kagawa, Japan

    Mitsuko Yodoya & Jun Sakurai

Authors
  1. Takahiko Misao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takeshi Yoshikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Motoi Aoe
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yutaka Ueda
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mitsuko Yodoya
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jun Sakurai
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Takahiko Misao.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Misao, T., Yoshikawa, T., Aoe, M. et al. Recurrent rupture of intercostal artery aneurysms in neurofibromatosis type 1. Gen Thorac Cardiovasc Surg 60, 179–182 (2012). https://doi.org/10.1007/s11748-011-0806-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-011-0806-0

Key words

Search

Navigation