title: Treatment of a giant vertebrobasilar artery aneurysm using stent grafts. Case report.
abstract: 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.
authors.affiliation: Department of Radiology, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York, USA. edward.greenberg.98@alumni.brown.edu
authors.forename: Edward
authors.initials: E
authors.lastname: Greenberg
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Katz
authors.forename: Vallabh
authors.initials: V
authors.lastname: Janardhan
authors.forename: Howard
authors.initials: H
authors.lastname: Riina
authors.forename: Y Pierre
authors.initials: YP
authors.lastname: Gobin
mesh_terms: 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*