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  • Title: Spontaneous hemothorax associated with von Recklinghausen's disease.
    Author: Pezzetta E, Paroz A, Ris HB, Martinet O.
    Journal: Eur J Cardiothorac Surg; 2003 Jun; 23(6):1062-4. PubMed ID: 12829093.
    Abstract:
    Spontaneous hemothorax is a rare and life threatening complication of neurofibromatosis. Two types of vascular involvement have been described: (a) stenotic or aneurysmal alterations in large vessels such as the aorta and its branches; and (b) dysplastic features in smaller vessels. Thoracotomy and surgical ligation of the bleeding vessels is primarily indicated in the presence of active bleeding with associated hemodynamic compromise. A more conservative approach with endovascular embolization or non-operative management have also been reported in case of hemodynamic stability. We present a rare case of spontaneous hemothorax treated conservatively in a patient with von Recklinghausen's disease.
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