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A 60-year-old female with NF1 and other severe comorbidities presented with acute respiratory insufficiency caused by a ruptured large VA aneurysm and an associated AVF that required emergent intubation and eventual repair through endovascular techniques that resolved her symptoms. A detailed description of this case and a comprehensive review of the literature are also presented.<\/jats:p>","DOI":"10.2310\/6670.2010.00032","type":"journal-article","created":{"date-parts":[[2011,5,24]],"date-time":"2011-05-24T07:52:25Z","timestamp":1306223545000},"page":"166-177","source":"Crossref","is-referenced-by-count":30,"title":["Vertebral Artery Aneurysms and Cervical Arteriovenous Fistulae in Patients with Neurofibromatosis 1"],"prefix":"10.1177","volume":"18","author":[{"given":"Guillermo","family":"Higa","sequence":"first","affiliation":[{"name":"*Vascular and Endovascular Surgery Section, Tucson Medical Center, Tucson, AZ; \u2020Vascular and Endovascular Surgery Section, University of Arizona Medical Center, Tucson, AZ; \u2021Interventional Neuroradiology, Radiology Ltd., Tucson, AZ."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"John P.","family":"Pacanowski","sequence":"additional","affiliation":[{"name":"*Vascular and Endovascular 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