Kwon O Young, Kim Gun Jik, Oh Tak Hyuk, Lee Young Ok, Lee Sang Cjeol, Cho Jun Yong
Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):130-3. doi: 10.5090/kjtcs.2016.49.2.130. Epub 2016 Apr 5.
The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.
1型神经纤维瘤病（NF-1）患者发生乳内动脉（IMA）动脉瘤破裂是一种罕见但危及生命的并发症，需要紧急处理。一名患有NF-1的50岁男性被转至庆北国立大学医院急诊科，在那里诊断出IMA动脉瘤破裂并伴有血胸，随后进行了引流。通过结合血管内治疗和后续电视辅助胸腔镜手术（VATS）的分期处理，成功修复了IMA动脉瘤破裂和血胸。患者需要进行心肺脑复苏、分期进行弹簧圈栓塞治疗以及后续的VATS手术。这种分期方法可能是IMA动脉瘤破裂病例的一种有效治疗策略。
