title: A successful hybrid repair for vertebral arteriovenous fistula with extracranial vertebral artery aneurysm.
abstract: A 40-year-old female presented with general fatigue. Echocardiography and computed tomography revealed a cervical vertebral arteriovenous fistula (VAF) with an extracranial vertebral artery aneurysm (VAA). She had closure of an atrial septal defect via right jugular vein catheterization at 5 years of age. Considering the anatomical location, a hybrid endovascular and surgical procedure was successfully performed to exclude both the VAF and VAA from the arterial circulation. This procedure may be considered an alternative to treat vertebral arterial pathology.
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan. Electronic address: shiny@mte.biglobe.ne.jp.
authors.forename: Shinya
authors.initials: S
authors.lastname: Takahashi
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Keijiro
authors.initials: K
authors.lastname: Katayama
authors.affiliation: Department of Otolaryngology, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Takaharu
authors.initials: T
authors.lastname: Tatsugawa
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002574:Cervical Vertebrae / Q000098:blood supply*; D003131:Combined Modality Therapy; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D008026:Ligation; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*