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Eur J Cardiothorac Surg 2001;19:721-723
© 2001 Elsevier Science NL


Case report

Embolization of a ruptured intercostal artery aneurysm in type I neurofibromatosis

Beat Kipfera, Didier Lardinoisb, Jürgen Trillerc, Thierry Carrela

a Department of Cardiovascular Surgery, University Hospital, Freiburgstrasse 10, CH-3010 Bern, Switzerland
b Department of Thoracic Surgery, University Hospital, Freiburgstrasse 10, CH-3010 Bern, Switzerland
c Department of Radiology, University Hospital, Freiburgstrasse 10, CH-3010 Bern, Switzerland

Received 19 September 2000; received in revised form 31 January 2001; accepted 21 February 2001.

Corresponding author. Tel.: +41-31-6328332; fax: +41-31-6322919
e-mail: beat.kipfer{at}insel.ch

We present the case of a female with history of a ruptured lumbar aneurysm years ago. She was known to have neurofibromatosis type I with the typical clinical signs. The patient was transferred to us with a hematothorax and an aortic lesion was suspected on the outside CT scan. Reevaluation of the investigation raised suspicion of a ruptured intercostal artery aneurysm, which was consequently demonstrated on angiography. The aneurysm was embolized and the patient recovered uneventful. We will discuss the optimal therapy for vessel lesions in neurofibromatosis type I.

Key Words: Neurofibromatosis • Intercostal artery aneurysm • Embolization




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Copyright © 2001 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.