Successful Repair of a Vasculopathic Aneurysmal Brachial Artery in a Patient with Type 1 Neurofibromatosis

Balanescu, Cristina; Brar, Ranjeet; Evans, Nicholas; Tsui, Janice; Lindsey, Ben; Papadopoulou, Anthie; Brookes, Jocelyn; Lim, Chung Sim; Hamilton, George

doi:10.1016/j.avsg.2019.04.042

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Despite coil embolization the patient developed a spastic paraparesis secondary to spinal cord ischemia and required walking aids. One patient presented in their mid‐30s with sudden arm swelling and was found to have a brachial artery aneurysm which required surgery with a brachial–brachial anastomosis (Balanescu et al, 2019). All ruptured aneurysms required urgent neurosurgical intervention with coiling/clipping.…”

Section: Resultsmentioning

confidence: 99%

Neurovascular complications in adults with Neurofibromatosis type 1: A national referral center experience

Sheerin

Holmes

Childs

et al. 2022

American J of Med Genetics Pt A

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Neurofibromatosis type 1 (NF1) is associated with a range of vascular abnormalities.To assess the frequency, clinical and imaging spectrum of vascular complications in an adult cohort of NF1 patients, we reviewed 2068 adult NF1 patient records seen in our service between 2009 and 2019, to determine presence of vascular abnormalities, age at detection, associated symptoms and management. A literature review of the range of vascular abnormalities associated with NF1 was also undertaken. 1234 patients had magnetic resonance imaging cranial imaging. The frequency of vascular abnormalities associated with NF1 patients who had cranial imaging in this cohort was 3.5% (n = 43), the majority (n = 26, 60%) were symptomatic. Stroke and cerebral arterial stenosis were the commonest vascular complication. Eight patients (0.65%) had more than one type of vascular abnormality. One death due to a vascular complication was identified and significant morbidity resulted from other complications. We conclude that clinicians caring for patients with NF1 need to be cognizant that rapid onset of new neurological symptoms or signs may be the result of a vascular complication of NF1 and require urgent investigation and management, ideally within specialist teams who have experience of managing vascular complications of NF1.

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Section: Resultsmentioning

confidence: 99%

Neurovascular complications in adults with Neurofibromatosis type 1: A national referral center experience

Sheerin

Holmes

Childs

et al. 2022

American J of Med Genetics Pt A

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show abstract

“…Due to the extreme fragility of the arterial wall and the difficulties in obtaining haemostasis, the potential for significant intraoperative bleeding, surgical repair, or vessel reconstruction of the ruptured aneurysm is challenging and risky (15,16). From the literature review, only two cases successfully underwent brachial artery reconstruction (17,18). Despite the significant mortality and morbidity, most failed operations have resorted to salvaging techniques such as amputation, resection, and ligation.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Ruptured of Right Deep Brachial Artery Pseudoaneurysm With Underlying Neurofibromatosis Type 1

Chau Tan,

Mukthar,

Mohamed

2023

JUMMEC

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Neurofibromatosis type 1 (NF-1) is known to develop vascular lesions, yet they are uncommon. If missed or ignored, it can be limb-threatening. When a ruptured pseudoaneurysm is clinically identified, rapid surgical intervention is required. We discuss a case of NF-1 that involved a spontaneous rupture of the right deep brachial artery. A 41-year-old woman reported sudden right arm swelling and intensifying pain. She was hemodynamically stable; however, her right arm was enlarged and tense on examination. A radiological test revealed a deep brachial artery haemorrhage. The patient was promptly referred to a vascular surgeon and had endovascular intervention performed. Early detection, emergency angiography, and endovascular treatment for vascular lesions should be initiated immediately.

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True Brachial Aneurysm in an Older Female Patient. A Case Report and Review of Literature

Bautista-Sánchez¹,

Cuipal-Alcalde²,

Bellido-Yarlequé³

et al. 2022

Annals of Vascular Surgery

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Successful Repair of a Vasculopathic Aneurysmal Brachial Artery in a Patient with Type 1 Neurofibromatosis

Cited by 4 publications

References 18 publications

Neurovascular complications in adults with Neurofibromatosis type 1: A national referral center experience

Neurovascular complications in adults with Neurofibromatosis type 1: A national referral center experience

Spontaneous Ruptured of Right Deep Brachial Artery Pseudoaneurysm With Underlying Neurofibromatosis Type 1

True Brachial Aneurysm in an Older Female Patient. A Case Report and Review of Literature

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