Sudden death due to rupture of the right internal carotid artery in neurofibromatosis type 1: A case report

Liang, Yue; Tong, Fang; Zhang, Lin; Li, Wenhe; Zhou, Yiwu

doi:10.1016/j.legalmed.2016.05.004

Cited by 6 publications

(2 citation statements)

References 22 publications

(24 reference statements)

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“…The majority of NF-1-related vascular lesions are asymptomatic. However, vasculopathy frequently manifests as a rupture of an undetected lesion, which can be devastating if disrupted (3).…”

Section: Introductionmentioning

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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“…The majority of NF-1-related vascular lesions are asymptomatic. However, vasculopathy frequently manifests as a rupture of an undetected lesion, which can be devastating if disrupted (3).…”

Section: Introductionmentioning

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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“…NF1 vasculopathy (NF-V) is the second most common cause of mortality (Rasmussen et al 2001 ). Among 19 cases of ruptured extracranial arteries in NF1 reported from 1996 to 2016 (Huffman et al 1996 ; Ishizu et al 2006 ; Hinsch et al 2008 ; Aizawa et al 2010 ; Falcone et al 2010 ; Hung et al 2012 ; Park et al 2012 ; Moerbeek et al 2015 ; Liang et al 2016 ), the most common bleeding sites comprised thoracic vessels, such as the intercostal, subclavian, and internal thoracic arteries. Only two ruptures of visceral arteries (superior mesenteric artery (SMA) trunk and renal artery) have been reported (Huffman et al 1996 ; Hinsch et al 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rupture of the pancreatic arcade artery caused by neurofibromatosis type 1 successfully treated using emergency transcatheter arterial embolization, partial intra-aortic balloon occlusion, and stent graft placement: a case report and review of the literature

et al. 2020

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Background: Vascular abnormalities in neurofibromatosis type 1 (NF1) are rare, but are the second leading cause of death in persons with NF1. In NF1 vasculopathy (NF-V), fatal bleeding due to a spontaneous arterial rupture sometimes occurs. Ruptured extracranial arteries in patients with NF1 often involve thoracic vessels, such as the intercostal and subclavian arteries; very few reports exist regarding the abdominal region. Herein, we present the first case of intraperitoneal bleeding due to spontaneous pancreatic arcade artery (PAA) rupture associated with NF1, successfully treated by transcatheter arterial embolization (TAE) combined with stent-graft placement and partial intra-aortic balloon occlusion (IABO). Case presentation: A 40-year-old woman complained of back and abdominal pain. Upon admission, her blood pressure was 85/41 mmHg and heart rate was 129 beats/min. Computed tomography (CT) showed large intraperitoneal bleeding due to PAA rupture. After CT scanning, her systolic blood pressure decreased to 50 mmHg. Therefore, we performed emergency TAE with partial IABO. She was treated by TAE of the anterior superior pancreaticoduodenal artery, anterior inferior pancreaticoduodenal artery, and inferior pancreaticoduodenal artery. However, even after TAE, minor extravasation around the superior mesenteric artery continued, and her vital signs remained unstable. Stent-graft placement was selected to stop the haemorrhage, preserving normal blood flow of the superior mesenteric artery trunk. Excellent patency of the stent graft was confirmed on follow-up CT, and she was discharged on postoperative day 56.

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Histopathology of Selected Trauma

Dettmeyer¹

2018

Forensic Histopathology

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Sudden death due to rupture of the right internal carotid artery in neurofibromatosis type 1: A case report

Cited by 6 publications

References 22 publications

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

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

Spontaneous rupture of the pancreatic arcade artery caused by neurofibromatosis type 1 successfully treated using emergency transcatheter arterial embolization, partial intra-aortic balloon occlusion, and stent graft placement: a case report and review of the literature

Histopathology of Selected Trauma

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