Basilar artery dissection: an early postoperative complication of aneurysm clipping. Case report.
Recurrent subarachnoid hemorrhage (SAH) in the early period following successful clipping of a cerebral aneurysm is unusual. The authors report a unique case of distal basilar artery dissection and fatal SAH on the 6th day postoperatively. It is concluded that this complication was related to vascular trauma inflicted by repositioning the aneurysm clips during a seemingly uneventful procedure for a basilar artery tip aneurysm.
Toyota
B D
BD
Division of Neurosurgery, University Hospital, London, Ontario, Canada.
Ferguson
G G
GG
D000328:Adult; D001488:Basilar Artery / Q000293:injuries*; D002543:Cerebral Hemorrhage / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D011183:Postoperative Complications; D012421:Rupture; D013345:Subarachnoid Hemorrhage / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000295:instrumentation