Ruptured subclavian artery pseudo-aneurysm associated with Neurofibromatosis type 1.
OBJECTIVE
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.


METHODS
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.


CONCLUSIONS
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.
Sakamoto
Shigeyuki
S
Department of Neurosurgery, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan. sakamoto@hiroshima-u.ac.jp
Sumida
Masayuki
M
Takeshita
Shinichiro
S
Shibukawa
Masaaki
M
Kiura
Yoshihiro
Y
Okazaki
Takahito
T
Kurisu
Kaoru
K