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Eur J Cardiothorac Surg 2003;23:1062-1064
© 2003 Elsevier Science NL

Case report

Spontaneous hemothorax associated with von Recklinghausen's disease

Department of Surgery, Service de Chirurgie, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne-CHUV, Switzerland

Received 21 October 2002; received in revised form 25 February 2003; accepted 3 March 2003.

^* Corresponding author. Tel.: +41-21-314-2423; fax: +41-21-314-2376
e-mail: olivier.martinet{at}chuv.hospvd.ch

Spontaneous hemothorax is a rare and life threatening complication of neurofibromatosis. Two types of vascular involvement have been described: (a) stenotic or aneurysmal alterations in large vessels such as the aorta and its branches; and (b) dysplastic features in smaller vessels. Thoracotomy and surgical ligation of the bleeding vessels is primarily indicated in the presence of active bleeding with associated hemodynamic compromise. A more conservative approach with endovascular embolization or non-operative management have also been reported in case of hemodynamic stability. We present a rare case of spontaneous hemothorax treated conservatively in a patient with von Recklinghausen's disease.

Key Words: Von Recklinghausen • Neurofibromatosis • Hemothorax

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