Treatment of vertebral artery dissecting aneurysm by aneurysm trapping and posterior inferior cerebellar artery reimplantation. Case report.
The author presents the case of a patient with a ruptured vertebral artery dissecting aneurysm in which the posterior inferior cerebellar artery (PICA) arose from the wall of the aneurysm. The aneurysm was treated by trapping and the PICA was anastomosed to the vertebral artery proximal to the dissection. This technique allows intraoperative obliteration of the aneurysm while maintaining normal blood flow to the PICA.
Durward
Q J
QJ
Sioux City Neurology Neurosurgery, Iowa.
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D002531:Cerebellum / Q000098:blood supply* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012092:Replantation; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*