Published in:
Open Access
01-12-2014 | Case report
A case of lethal spontaneous massive hemothorax in a patient with neurofibromatosis 1
Authors:
Luisa Zacarias Föhrding, Timur Sellmann, Sebastian Angenendt, Detlef Kindgen-Milles, Stefan A Topp, Bernhard Korbmacher, Artur Lichtenberg, Wolfram T Knoefel
Published in:
Journal of Cardiothoracic Surgery
|
Issue 1/2014
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Abstract
Neurofibromatosis type 1 is an autosomal dominant disease characterized by multiple dermatological disorders amongst others. Among the less frequent manifestations are vascular abnormalities. Here, we present a case of spontaneous massive hemothorax in a 39-year-old Caucasian woman with neurofibromatosis 1 and a thoracic meningocele with a lethal outcome despite extensive surgical intervention as well as intensive care measures. Spontaneous hemothorax is a rare, but potentially lethal complication of neurofibromatosis type 1, which necessitates quick and decisive intervention; endovascular embolization where possible, otherwise aggressive surgical intervention in unstable patients.