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1型神经纤维瘤病患者发生三处动脉破裂

Three Arterial Ruptures in a Patient with Neurofibromatosis Type 1.

作者信息

Higa Shotaro, Nagano Takaaki, Ito Junji, Uejo Akino, Nakaema Moriyasu, Kise Yuya, Yamashiro Satoshi

机构信息

Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara-cho, Okinawa, Japan.

Department of Radiology, Graduate School of Medicine, University of the Ryukyus, Nishihara-cho, Okinawa, Japan.

出版信息

Ann Vasc Dis. 2021 Jun 25;14(2):168-172. doi: 10.3400/avd.cr.20-00174.

Abstract

Neurofibromatosis type 1 (NF-1) is a rare disease known to cause vascular fragility. A case of a 59-year-old man with NF who had ruptures in three different arteries within a month is presented. The first rupture occurred in the right renal artery and was treated using a stent graft and embolization coils. The second and third ruptures occurred in an artery that had been compressed by a hematoma formed during the first bleed; both were embolized. In patients with NF-1, blood vessel fragility must be considered in treatment selection, especially when performing surgery or other invasive procedures near the great vessels.

摘要

1型神经纤维瘤病(NF-1)是一种已知会导致血管脆弱的罕见疾病。本文介绍了一例59岁患有NF-1的男性患者,该患者在一个月内三根不同的动脉发生破裂。首次破裂发生在右肾动脉,采用覆膜支架和栓塞弹簧圈进行治疗。第二次和第三次破裂发生在因首次出血形成的血肿压迫的动脉;两次均进行了栓塞治疗。对于NF-1患者,在选择治疗方案时必须考虑血管脆弱性,尤其是在大血管附近进行手术或其他侵入性操作时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe7c/8241549/80cc7c66e4ce/avd-14-2-cr.20-00174-figure01.jpg

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