Matsumoto Isao, Ohta Yasuhiko, Tsunezuka Yoshio, Tamura Masaya, Oda Makoto, Watanabe Go
Department of General and Cardiothoracic Surgery, Kanazawa University, Takara-machi 13-1, Kanazawa 920-8641, Japan.
Asian Cardiovasc Thorac Ann. 2007 Jan;15(1):e16-9. doi: 10.1177/021849230701500130.
We report a valuable case in which a spontaneous intercostal arterial aneurysmal rupture associated with neurofibromatosis type 1, and a re-rupture after embolization of the aneurysm were successfully treated by endovascular embolization without surgery. Our case calls for attention as it indicates that recurrent aneurysmal rupture can occur even after an embolization or surgery. It is important to carefully observe the course of the patient by follow-up computed tomography (CT) or angiography in such cases.
我们报告了一例罕见病例,一名患有1型神经纤维瘤病的患者出现自发性肋间动脉瘤破裂,动脉瘤栓塞术后再次破裂,最终成功通过血管内栓塞治疗,避免了手术。我们的病例值得关注,因为它表明即使在栓塞或手术后,动脉瘤仍可能复发破裂。在此类病例中,通过随访计算机断层扫描(CT)或血管造影仔细观察患者病情发展非常重要。