Ruptured subclavian artery pseudo-aneurysm associated with Neurofibromatosis type 1

Sakamoto Shigeyuki

Sumida Masayuki

Takeshita Shinichiro

Shibukawa Masaaki

Kiura Yoshihiro

Okazaki Takahito

Kurisu Kaoru

Acta Neurochirurgica

A subclavian artery aneurysm associated with Neurofibromatosis type 1 (NF 1) is extremely rare. We report a ruptured pseudo-aneurysm of the subclavian artery in a patient with NF 1 treated with endovascular surgery. A 51 year old man with NF 1 presented with initially sudden left neck pain and continuous dysphagia. Radiological examination showed a pseudo-aneurysm of the left subclavian artery. Endovascular stenting and coil embolisation was performed to prevent rebleeding and the lesion was completely obliterated. Follow-up angiography at 3 months revealed good flow through the stent without flow into the pseudo-aneurysm. Our patient is the first reported example of successful endovascular treatment for a ruptured subclavian artery pseudo-aneurysm associated with NF 1. Endovascular stenting and coil embolisation for the ruptured subclavian artery pseudo-aneurysm was very effective.

Endovascular

Coil embolisation

Neurofibromatosis type 1

Ruptured aneurysm

Subclavian artery

Medical sciences [ 490 ]

eng

Springer Wien

Copyright (c) 2009 Springer

The original publication is available at www.springerlink.com

[ISSN] 0001-6268

[DOI] 10.1007/s00701-009-0275-8

[NCID] AA0050885X

[DOI] http://dx.doi.org/10.1007/s00701-009-0275-8