Traumatic Hemothorax with Von Recklinghausen’s Disease

DOI
  • Takano Tomohiro
    Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine
  • Wakamatsu Hiroki
    Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine
  • Takase Shinya
    Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine
  • Sato Yoichi
    Department of CardioVascular Surgery, Yonezawa City Hospital
  • Satokawa Hirono
    Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine
  • Yokoyama Hitoshi
    Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine

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Other Title
  • 鈍的外傷により鎖骨下動脈損傷をきたし血胸に至ったvon Recklinghausen病の1例

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Description

A 55-year-old woman with a history of von Recklinghausen’s disease felt right chest pain while taking her dog for a walk. Chest computed tomography showed right hemothorax. Furthermore, angiography detected bleeding from the right subclavian artery. An emergency operation was performed by median sternotomy, we recognized massive bleeding from right thoracic cavity. We found intrathoracic artery separated from right subclavian artery, which we repaired by some sutures. It was not easy to repair the vessel due to the fragility and thin wall. We did not detect any tumor around the vessel. Though the vascular complication of von Recklinghausen disease is rare, it can lead to severe results. It is crucial to diagnose as quickly as possible, and start management.

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