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Rupture of Posterior Tibial Artery Aneurysm in a Patient with von Recklinghausenfs Disease
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(Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan)
| Mikito Inouchi |
Yu Shomura |
Michihiro Nasu |
| Yukikatsu Okada |
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A 53-year-old woman with von Recklinghausenfs disease was admitted with severe pain and acute right leg swelling. The physical examination revealed neurofibromas and café-au-lait spots, typical of patients with von Recklinghausenfs disease. Computed tomography and ultrasonography showed a rupture of a posterior tibial artery pseudoaneurysm. Since her complaint of pain was severe and because of the rapid progression of pseudoaneurysm, we performed an emergency operation. Under general anesthesia with the pneumatic tourniquet technique, both of the proximal and distal sides of the posterior tibial artery were ligated, and the pseudoaneurysm was resected. The postoperative course was uneventful. She was given an ambulatory discharge 26 days after operation. Histological examination revealed spindle-shaped cells infiltrating the aneurysmal wall. We diagnosed this is a vascular lesion of von Recklinghausenfs disease.
Jpn. J. Cardiovasc. Surg. 41:293-295i2012j
KeywordsFvon Recklinghausen disease, peripheral arterial aneurysm, neurofibroma
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