Treatment of a giant vertebrobasilar artery aneurysm using stent grafts. Case report.
This 65-year-old man presented to the authors' institution reporting neck swelling. Stage IIIA Hodgkin disease was diagnosed, and a computed tomography scan of the neck revealed a vertebrobasilar artery aneurysm. His medical history was significant for subarachnoid hemorrhage and coma 2 years earlier. Subsequent digital subtraction angiography demonstrated a giant fusiform vertebrobasilar junction aneurysm with associated basilar artery (BA) fenestration. Endovascular treatment of the giant aneurysm was performed by left vertebral artery (VA) occlusion and placement of two Jo-stent coronary stent grafts from the right VA to the BA. The postprocedure course was uneventful. Follow-up angiography performed 1 week postoperatively demonstrated complete exclusion of the aneurysm. This unique case is described and a review of the relevant literature is presented.
Greenberg
Edward
E
Department of Radiology, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York, USA. edward.greenberg.98@alumni.brown.edu
Katz
Jeffrey M
JM
Janardhan
Vallabh
V
Riina
Howard
H
Gobin
Y Pierre
YP
D000368:Aged; D015901:Angiography, Digital Subtraction; D021721:Balloon Occlusion / Q000379:methods; D006689:Hodgkin Disease / Q000150:complications; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D012720:Severity of Illness Index; D015607:Stents; D014182:Transplantation, Autologous; D014715:Vertebrobasilar Insufficiency / Q000209:etiology* / Q000473:pathology / Q000601:surgery*