Successful Management of Extracranial Vertebral Artery Aneurysm by Artificial Vessel Reconstruction.
作者信息
Zhang Hao, Zhao Yan, Naha Gargi, Hou Changkai, Wang Zhe, Yang Xinyu
机构信息
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.
International Medical School, Tianjin Medical University, Tianjin, China.
出版信息
World Neurosurg. 2018 Aug;116:249-254. doi: 10.1016/j.wneu.2018.05.178. Epub 2018 Jun 1.
BACKGROUND
Unruptured 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 DESCRIPTION
In 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.
CONCLUSIONS
Extracranial 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.
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