• World Neurosurg · Aug 2018

    Case Reports

    Successful Management of Extracranial Vertebral Artery Aneurysm by Artificial Vessel Reconstruction.

    • Hao Zhang, Yan Zhao, Gargi Naha, Changkai Hou, Zhe Wang, and Xinyu Yang.
    • Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China; Tianjin Key Laboratory of Injuries, Variations, and Regeneration of the Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China.
    • World Neurosurg. 2018 Aug 1; 116: 249-254.

    BackgroundUnruptured extracranial vertebral artery (VA) aneurysms are uncommon and have rarely been described with treatment options. Here we report the successful reconstruction of an asymptomatic extracranial left VA aneurysm, highlighting the treatment for extracranial VA aneurysm and showing the superiority of a hybrid operating room in cerebral vascular diseases.Case DescriptionIn this 57-year-old female who had sustained an extracranial left VA aneurysm, magnetic resonance angiography showed bilateral VAs as codominant in the vertebrobasilar system. Digital subtraction angiography demonstrated that the fusiform aneurysm (18.7 × 15.4 mm) was present at the proximal part of the left VA. Aneurysm resection and vascular graft reconstruction were performed in the hybrid operating room. A successful outcome was noted at the 6-month follow-up.ConclusionsExtracranial VA aneurysm in the V1 segment can be well treated with open surgery using a prosthetic graft. Preserving the function of the affected VA should always be a point of concern.Copyright © 2018 Elsevier Inc. All rights reserved.

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