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Ann Thorac Surg 2007;84:1021-1023
© 2007 The Society of Thoracic Surgeons

Case Reports

Spontaneous Hemothorax in a Patient With Neurofibromatosis Type 1 and Undiagnosed Pheochromocytoma

Niamh P. Conlon, FCARCSIa,*, Karen C. Redmond, MD, FRCS(CTh)b, Leo A. Celi, MDc

a Department of Anesthesia and Intensive Care, Mater Misericordiae University Hospital, Dublin, Ireland
b Department of Cardiothoracic Surgery, Harefield Hospital, London, United Kingdom
c Department of Anesthesia and Intensive Care, Dunedin Hospital, Dunedin, New Zealand

Accepted for publication April 5, 2007.

* Address correspondence to Dr Conlon, Department of Anesthesia and Intensive Care, Mater Misericordiae University Hospital, Eccles St, Dublin, 7, Ireland (Email: tallniamh{at}hotmail.com).

Spontaneous hemothorax in neurofibromatosis type 1 rarely occurs, is potentially life-threatening, and requires expedient management. We present a case of massive hemothorax in a patient with neurofibromatosis type 1 caused by spontaneous rupture of the right internal mammary artery. A subsequently diagnosed underlying pheochromocytoma may be implicated in rupture of the arterial wall.






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Copyright © 2007 by The Society of Thoracic Surgeons.