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- Title
Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis.
- Authors
Uzuka, Takeshi; Ito, Toshiro; Koyanagi, Tetsuya; Maeda, Toshiyuki; Tabuchi, Masaki; Kawaharada, Nobuyoshi; Higami, Tetsuya
- Abstract
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.
- Subjects
ANEURYSMS; NEUROFIBROMATOSIS; AORTIC dissection; THERAPEUTIC embolization; PATIENTS
- Publication
Journal of Cardiothoracic Surgery, 2012, Vol 7, Issue 1, p38
- ISSN
1749-8090
- Publication type
Case Study
- DOI
10.1186/1749-8090-7-38