title: Endovascular treatment of extracranial vertebral artery aneurysm and aberrant right subclavian artery aneurysm.
abstract: We report an endovascular approach that used to treat a symptomatic extracranial vertebral artery aneurysm associated to an asymptomatic aberrant right subclavian artery aneurysm. A 54-year-old man presented with neck pain, vertigo and loss of balance. The computed tomography (CT) scan demonstrated a left extracranial vertebral artery aneurysm that compressed and eroded the C5 vertebra associated to an aberrant right subclavian artery aneurysm. Endovascular exclusion of the vertebral aneurysm using a covered stent and a hybrid treatment of the aberrant subclavian artery aneurysm were performed. The 13th month follow-up CT scan confirmed the stent-grafts and supra-aortic vessels patency. The endovascular treatment represents a good option for these complex pathologies with excellent immediate results, reduces the complication rate and the hospital stay if compared to open repair. Long-term follow-up is necessary. To our knowledge this is a unique case in the literature.
authors.affiliation: Department of Vascular Surgery San Filippo Neri Hospital, Rome, Italy - n.mangialardi@sanfilipponeri.roma.it.
authors.forename: S
authors.initials: S
authors.lastname: Ronchey
authors.forename: E
authors.initials: E
authors.lastname: Serrao
authors.forename: H
authors.initials: H
authors.lastname: Kasemi
authors.forename: S
authors.initials: S
authors.lastname: Fazzini
authors.forename: N
authors.initials: N
authors.lastname: Mangialardi
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D018376:Cardiovascular Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*