Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis

<p>Abstract</p> <p>Vascular involvement is rare in neurofibromatosis type 1 (NF1). It is often missed because it is usually asymptomatic. We report a case of a 42 years old male with neurofibromatosis type 1 who presented with left back discomfort. CT angiography revealed a massive...

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Main Authors: Uzuka Takeshi, Ito Toshiro, Koyanagi Tetsuya, Maeda Toshiyuki, Tabuchi Masaki, Kawaharada Nobuyoshi, Higami Tetsuya
Format: Article
Language:English
Published: BMC 2012-04-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://www.cardiothoracicsurgery.org/content/7/1/38
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author Uzuka Takeshi
Ito Toshiro
Koyanagi Tetsuya
Maeda Toshiyuki
Tabuchi Masaki
Kawaharada Nobuyoshi
Higami Tetsuya
author_facet Uzuka Takeshi
Ito Toshiro
Koyanagi Tetsuya
Maeda Toshiyuki
Tabuchi Masaki
Kawaharada Nobuyoshi
Higami Tetsuya
author_sort Uzuka Takeshi
collection DOAJ
description <p>Abstract</p> <p>Vascular involvement is rare in neurofibromatosis type 1 (NF1). It is often missed because it is usually asymptomatic. We report a case of a 42 years old male with neurofibromatosis type 1 who presented with left back discomfort. CT angiography revealed a massive 42 mm aneurysm of left 11th intercostal artery. After a discussion between radiologists and cardiothoracic surgeons, endovascular coil embolization was chosen to treat this patient. Percutaneous aneurysm embolization was successfully performed. However, the procedure was complicated by Stanford type B acute aortic dissection. Stanford type B acute aortic dissection was medically managed and patient remained well after discharge. Fragile vascular nature was thought to be one of the causes of this unreported complication.</p>
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spelling doaj.art-f6ac55d18e314d9bafdefb43250aed842022-12-22T01:22:57ZengBMCJournal of Cardiothoracic Surgery1749-80902012-04-01713810.1186/1749-8090-7-38Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosisUzuka TakeshiIto ToshiroKoyanagi TetsuyaMaeda ToshiyukiTabuchi MasakiKawaharada NobuyoshiHigami Tetsuya<p>Abstract</p> <p>Vascular involvement is rare in neurofibromatosis type 1 (NF1). It is often missed because it is usually asymptomatic. We report a case of a 42 years old male with neurofibromatosis type 1 who presented with left back discomfort. CT angiography revealed a massive 42 mm aneurysm of left 11th intercostal artery. After a discussion between radiologists and cardiothoracic surgeons, endovascular coil embolization was chosen to treat this patient. Percutaneous aneurysm embolization was successfully performed. However, the procedure was complicated by Stanford type B acute aortic dissection. Stanford type B acute aortic dissection was medically managed and patient remained well after discharge. Fragile vascular nature was thought to be one of the causes of this unreported complication.</p>http://www.cardiothoracicsurgery.org/content/7/1/38Neurofibromatosis type 1Intercostal artery aneurysmStanford type B acute aortic dissectionCoil embolization
spellingShingle Uzuka Takeshi
Ito Toshiro
Koyanagi Tetsuya
Maeda Toshiyuki
Tabuchi Masaki
Kawaharada Nobuyoshi
Higami Tetsuya
Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis
Journal of Cardiothoracic Surgery
Neurofibromatosis type 1
Intercostal artery aneurysm
Stanford type B acute aortic dissection
Coil embolization
title Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis
title_full Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis
title_fullStr Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis
title_full_unstemmed Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis
title_short Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis
title_sort giant intercostal aneurysm complicated by stanford type b acute aortic dissection in patients with type 1 neurofibromatosis
topic Neurofibromatosis type 1
Intercostal artery aneurysm
Stanford type B acute aortic dissection
Coil embolization
url http://www.cardiothoracicsurgery.org/content/7/1/38
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