Balanescu Cristina, Brar Ranjeet, Evans Nicholas, Tsui Janice, Lindsey Ben, Papadopoulou Anthie, Brookes Jocelyn, Lim Chung Sim, Hamilton George
Department of Vascular Surgery, Royal Free Hospital, London, UK.
Department of Interventional Radiology, Royal Free Hospital, London, UK.
Ann Vasc Surg. 2019 Nov;61:467.e17-467.e22. doi: 10.1016/j.avsg.2019.04.042. Epub 2019 Jul 31.
Vasculopathy is a well-recognized abnormality associated with neurofibromatosis type 1(NF1) and may cause stenoses, aneurysms, and arteriovenous malformations. We report a challenging case of a woman with NF1, who presented with spontaneous rupture of a brachial aneurysm around her right elbow, on a background of previous debulking and soft tissue reconstructive surgery in the same arm. She underwent successful delayed reconstruction of the brachial artery using an autologous great saphenous vein graft.
血管病变是一种与1型神经纤维瘤病（NF1）相关的公认异常情况，可能导致狭窄、动脉瘤和动静脉畸形。我们报告了一例具有挑战性的病例，一名患有NF1的女性，在同侧手臂先前进行减瘤和软组织重建手术后，出现右肘周围肱动脉瘤自发破裂。她接受了使用自体大隐静脉移植成功延迟重建肱动脉的手术。
