Diogo Cláudia, Baltazar José, Fernandes Mário
Serviço de Cirurgia Geral, Hospital de São José, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal.
Acta Med Port. 2012 Nov-Dec;25(6):465-7. Epub 2013 Jan 28.
The association between intracranial and visceral aneurysms is very rare, with a bad prognosis. The rupture usually appears in the Emergency Room, and it implies an immediate treatment. We describe the case of a woman with rupture of an anterior communicant artery aneurysm and rupture of a pancreatic duodenal artery aneurysm. The actuation of all specialties allowed the direct surgical treatment of the visceral aneurysm, without the aggravation of the cerebral hemorrhage that the eventual Aorta Artery clamping could provoke. The maintenance of the hemodynamic stability was essential for the posterior treatment of the intracranial aneurysm.