title: Successful hybrid management of a left vertebral artery aneurysm secondary to type-1 neurofibromatosis.
abstract: A 32-year-old man with type-1 neurofibromatosis (NF1) was diagnosed with a left vertebral artery aneurysm of 4 cm maximal diameter. A hybrid procedure was conducted associating the exclusion of the origin of the left vertebral artery with a covered stent in the left subclavian artery and a cervical incision for ligation of the vertebral artery to completely exclude the aneurysm and perform the aneurysm resection. The histologic findings confirmed the diagnosis of NF1 with a vascular localization in the aneurysm. The postoperative course was uneventful. The 1-year clinical and morphologic results were satisfactory.
authors.affiliation: Departement of Vascular Surgery, Vascular Surgery Unit, CHU de Tours, Tours, France. Electronic address: flora.gouaillier@free.fr.
authors.forename: Flora
authors.initials: F
authors.lastname: Gouaillier-Vulcain
authors.affiliation: Department of Vascular Surgery, CHU de Lille, Lille, France.
authors.forename: Blandine
authors.initials: B
authors.lastname: Maurel
authors.affiliation: Departement of Vascular Surgery, Vascular Surgery Unit, CHU de Tours, Tours, France.
authors.forename: Etienne
authors.initials: E
authors.lastname: Marchand
authors.affiliation: Departement of Vascular Surgery, Vascular Surgery Unit, CHU de Tours, Tours, France.
authors.forename: Robert
authors.initials: R
authors.lastname: Martinez
authors.affiliation: Department of Vascular Surgery, CHU d'Angers, Angers, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Picquet
authors.affiliation: Department of Vascular Surgery, CHU d'Angers, Angers, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Enon
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D001706:Biopsy; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D003131:Combined Modality Therapy; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008026:Ligation; D018810:Magnetic Resonance Angiography; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000175:diagnosis; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*