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Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization

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Abstract

We evaluated the effectiveness of transcatheter arterial coil embolization therapy for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients. Three patients were treated for massive hemothorax caused by arterial lesions associated with neurofibromatosis. Bleeding episodes were secondary to ascending cervical artery aneurysm and dissection of vertebral artery in 1 patient, and intercostal artery aneurysm with or without arteriovenous fistula in 2 patients. Patients were treated by transarterial coil embolization combined with chest drainage. In 1 patient, the ruptured ascending cervical artery aneurysm was well embolized but, shortly after the embolization, fatal hemorrhage induced by dissection of the vertebral artery occurred and the patient died. In the other 2 patients, the ruptured intercostal artery aneurysm was well embolized and they were successfully treated and discharged. Transcatheter arterial coil embolization therapy is an effective method for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients.

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References

  1. Brasfield RD, Das Gupta TK (1972) Von Recklinghausen’s disease: a clinicopathological study. Ann Surg 175:86–104

    Article  PubMed  CAS  Google Scholar 

  2. Itzchak Y, Katznelson D, Boichis H, Jonas A, Deutsch V (1974) Angiographic features of arterial lesions in neurofibromatosis. AJR Am J Roentgenol 122:643–647

    CAS  Google Scholar 

  3. Teitelbaum GP, Hurvitz RJ, Esrig BC (1998) Hemothorax in type I neurofibromatosis. Ann Thorac Surg 66:569–571

    Article  PubMed  CAS  Google Scholar 

  4. Miyazaki T, Ohta F, Daisu M, Hoshii Y (2004) Extracranial vertebral artery aneurysm ruptured into the thoracic cavity with neurofibromatosis type 1: Case report. Neurosurgery 54:1517–1520

    Article  PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  6. Dominguez J, Sancho C, Escalante E, Morera JR, Moya JA, Bernat R (2002) Percutaneous treatment of a ruptured intercostal aneurysm presenting as massive hemothorax in a patient with type 1 neurofibromatosis. J Thorac Cardiovasc Surg 124:1230–1232

    Article  PubMed  CAS  Google Scholar 

  7. Niimi M, Ikeda Y, Kan S, Takami H, Furui S, Takeshita K (2002) Spontaneous rupture of an intercostal artery due to neurofibromatosis type 1 disease treated by percutaneous embolization. Cardiovasc Intervent Radiol 25:160–161

    Article  PubMed  Google Scholar 

  8. Deans WR, Bloch S, Leiblock L, Berman BM, Skultety FM (1982) Arteriovenous fistula in patients with neurofibromatosis. Radiology 144:103–107

    PubMed  CAS  Google Scholar 

  9. Reubi F (1945) Neurofibromatose et lesions vasculaires. Schweiz Med Wochenschr 75:643–647

    Google Scholar 

  10. Salyer WR, Salyer DC (1974) The vascular lesions of neurofibromatosis. Angiology 25:510–519

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  12. Griffiths AP, White J, Dawson A (1998) Spontaneous haemothorax: A cause of sudden death in von Recklinghausen’s disease. Postgrad Med J 74:679–681

    Article  PubMed  CAS  Google Scholar 

  13. Bertram LS, Carolyn EM, Norman D, Frank R (2000) Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft. J Vasc Surg 32:824–828

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Kurobe City Hospital, 1108-1 Mikkaichi, Kurobe, 938-0031, Japan

    Kazunori Arai & Akiko Kurozumi

  2. Department Thoracic Surgery, Kurobe City Hospital, 1108-1 Mikkaichi, Kurobe, 938-0031, Japan

    Toshio Watanabe

  3. Department of Radiology, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, 920-8641, Japan

    Junichiro Sanada & Osamu Matsui

Authors
  1. Kazunori Arai
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  2. Junichiro Sanada
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  3. Akiko Kurozumi
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  4. Toshio Watanabe
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  5. Osamu Matsui
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Corresponding author

Correspondence to Junichiro Sanada.

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Arai, K., Sanada, J., Kurozumi, A. et al. Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization. Cardiovasc Intervent Radiol 30, 477–479 (2007). https://doi.org/10.1007/s00270-006-0056-1

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  • DOI: https://doi.org/10.1007/s00270-006-0056-1

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