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Ann Thorac Surg 1994;58:1180-1182
© 1994 The Society of Thoracic Surgeons
First Department of Surgery, Yamaguchi University School of Medicine, Department of Surgery, Yamaguchi Saiseikai General Hospital, Yamaguchi, Japan
Accepted for publication February 10, 1994.
* Address reprint requests to Dr Hamano, First Department of Surgery, Yamaguchi University School of Medicine, Ube, Yamaguchi, 755, Japan.
Two patients were treated emergently for impending ruptured thoracic aortic aneurysms caused by type IV Ehlers-Danlos syndrome. One patient had typical physical evidence of type IV Ehlers-Danlos syndrome. The other patient had a normal phenotype. Type IV Ehlers-Danlos syndrome was diagnosed by electrophoresis of the collagen extracted from the skin. The clinician must be aware of the variations in presentation of type IV Ehlers-Danlos syndrome.
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