“…29 Although the manifestations of NF1 vasculopathy are mostly arterial, patients may also present with venous rupture, venous aneurysms, and/or VT. [8][9][10][11][12]31 It has been shown that the absence of NF1 in vitro is sufficient for human venous endothelium cells to undergo autonomous proliferation. 28 This endothelial dysfunction has been extensively implicated in the pathogenesis of VT. [32][33][34][35] In this setting, the venous endothelium also shows altered vascular morphogenesis, which helps to explain the vascular morphological alterations in NF1 patients (that is, stenosis and aneurysms), 6,9,12,14,19,31 some of which may further increase the risk of VT (that is, venous aneurysm). [36][37][38] We have found four reports of NF1 patients presenting with venous aneurysm and an associated VT. Seinturier et al 12 presented a case in which a 64-year-old woman, with NF1, developed pulmonary embolism secondary to a thrombosed venous femoral aneurysm.…”