Ruptured left subclavian artery aneurysm presenting as upper airway obstruction in von Recklinghausen's disease

Seow, Vei-Ken; Chong, Chee-Fah; Wang, Tzong-Luen; You, Chi-Fang; Han, He-Yi; Chen, Chien-Chih

doi:10.1016/j.resuscitation.2007.02.002

Cited by 21 publications

(17 citation statements)

References 9 publications

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“…On 31 patients presenting 76 vascular abnormalities, Oderich et al found 3 cases of subclavian arteries aneurysms [8]. Seow et al reported a case of left subclavian artery aneurysm rupture leading to hemothorax and airway obstruction [9]. But the usual NF-1 vascular lesions also involve the walls of arteries that are not directly associated with neurofibromas.…”

Section: Discussionmentioning

confidence: 99%

Neurofibromatosis type 1 and multiple traumatic cervical arterial injuries: a case report

Sauneuf

Chevalier

Jehan

et al. 2009

Cases J

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IntroductionBlunt injury to the carotid and vertebral arteries is uncommon and potentially devastating. Neurofibromatosis type 1, or von Recklinghausen’s disease is an autosomal dominant disorder affecting one in 3000 individuals. This genetic disease may affect many organs, including vessels.Case presentationThis report describes a very unusual case of multiple traumatic arterial injuries in a 44-year-old Caucasian neurofibromatosis type 1 patient, with delayed diagnosis. The vascular abnormalities observed in neurofibromatosis type 1, probably enhanced the arterial lesions. Medical treatment with antiplatelet therapy combined with endovascular stent-assisted angioplasty allowed a good evolution for the patient.ConclusionPatients with medical history of neurofibromatosis type I are at risk to develop blunt cervical vascular injury. This association has to be known by emergency and intensivist physicians to optimize screening of cerebrovascular injuries and treat early such devastating lesions.

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Section: Discussionmentioning

confidence: 99%

Neurofibromatosis type 1 and multiple traumatic cervical arterial injuries: a case report

Sauneuf

Chevalier

Jehan

et al. 2009

Cases J

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“…Vascular abnormalities are well-recognized but rare manifestations of NF-I and comprise of stenoses, aneurysms, pseudoaneurysms, and rupture or fistulas formation, occlusions and arteriovenous malformations, mainly of the larger blood vessels [2] . The term NF-1 vasculopathy has been coined in the medical literature to describe these vascular abnormalities [1] .…”

Section: Discussionmentioning

confidence: 99%

“…Neurofibromatosis type 1 (NF-1), or von Recklinghausen disease, is a rare autosomal dominant neurocutaneous genetic disorder characterized by a generalized dysplasia of mesodermal and neuroectodermal tissues [1] , [2] . Cardinal features of NF-1 include multiple café au lait macules, benign neurofibromas, and iris hamartomas [3] .…”

Section: Introductionmentioning

confidence: 99%

Ruptured left external carotid artery aneurysm presenting as upper airway obstruction in von Recklinghausen’s disease

Souldi

Bajja

Chenguir

et al. 2016

International Journal of Surgery Case Reports

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HighlightsVascular abnormalities are recognized but rare manifestations of Neurofibromatosis type 1.Stenoses, aneurysms and pseudoaneurysm are the most common vascular abnormalities.External carotid aneurysm has not been reported before in the litterature.The most common clinical presentation of aneurysms is their spontaneous rupture.Carotid aneurysm rupture can cause a life-threatening upper airway obstruction.Carotid aneurysm in NF-1 can be treated by surgical or endovascular approach or combination of the both.

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“…Such lesions are characterized by stenosis, occlusion, aneurysm, pseudoaneurysm, and rupture or fistula formation in small, medium, and large arteries. 2) We report herein a case of critical massive intra-thoracic bleeding in a patient with VRD caused by rupture of a branch of the right subclavian artery.…”

Section: Introductionmentioning

confidence: 96%

Spontaneous Hemothorax Associated with von Recklinghausen’s Disease: Report of a Case

Miyazaki

Tsuchiya

Tagawa

et al. 2011

ATCS

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A 59-year-old woman with a history of von Recklinghausen's disease (VRD) suffered sudden chest pain. Enhanced chest computed tomography showed massive hemothorax, but no evidence of tumors or an obvious bleeding point in the thorax. After we had ensured a stable hemodynamic condition, we performed video-assisted thoracic surgery to remove the hematoma. The bleeding point was in a branch of the right subclavian artery. We performed direct surgical ligation of the bleeding vessel with a fibrin tissue-adhesive collagen fleece. Recovery was uneventful, and the patient is now doing well with no evidence of re-bleeding, 12 months postoperatively. Spontaneous hemothorax in patients with von Recklinghausen's disease represents a critical event, and exploratory video-assisted thoracic surgery appears useful in the removal of clotted blood and reinforcement of fragile arteries for the prevention of re-bleeding. We should recognize this rare and critical condition in patients with von Recklinghausen's disease.

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Ruptured left subclavian artery aneurysm presenting as upper airway obstruction in von Recklinghausen's disease

Cited by 21 publications

References 9 publications

Neurofibromatosis type 1 and multiple traumatic cervical arterial injuries: a case report

Neurofibromatosis type 1 and multiple traumatic cervical arterial injuries: a case report

Ruptured left external carotid artery aneurysm presenting as upper airway obstruction in von Recklinghausen’s disease

Spontaneous Hemothorax Associated with von Recklinghausen’s Disease: Report of a Case

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