Radical surgical treatment for recurrent giant fusiform thrombosed vertebral artery aneurysm previously coiled

Radical surgical treatment for recurrent giant fusiform thrombosed vertebral artery aneurysm previously coiled

BACKGROUND Fusiform aneurysms are rare (<1%) and the underlying pathophysiology is not well known. Endovascular coiling is the standard of treatment; however, a surgical procedure with vascular reconstruction by excluding the pathological segment of the vessel and restoring the blood flow, seems to be the most effective and definitive treatment. CASE DESCRIPTION We report a patient who presen...

Growth of a thrombosed giant vertebral artery aneurysm after parent artery occlusion.

Parent artery ligation is an accepted treatment for intracranial aneurysms that are not amenable to a direct surgical approach. Parent artery ligation is one of the oldest effective surgical means of aneurysm therapy (the "Hunterian principle" (1 ]). Recently it has become possible to perform parent artery occlusion of the carotid or vertebral artery percutaneously by using detachable balloon t...

Giant thrombosed vertebral artery aneurysm treated by extracranial-intracranial bypass and aneurysmectomy--case report.

A 42-year-old male presented with a giant thrombosed aneurysm of the left vertebral artery. The aneurysm was resected through a combined subtemporal and suboccipital approach after a saphenous vein bypass graft was placed between the right external carotid artery and the posterior cerebral artery. Intraoperative measurements of the blood flow volume and pressure demonstrated good blood flow in ...

Successful surgical treatment of a giant coronary artery aneurysm presenting with recurrent profuse haemoptysis

We present the case of successful resection of a giant aneurysm of the LAD presenting with recurrent severe haemoptysis in a 72-year old man. He was admitted to a regional hospital with fever, recurrent bloody sputum, weight loss and left sided chest pain, and developed respiratory failure requiring ventilation. Investigations are summarised and reviewed and the diagnosis was eventually reached...

Surgical treatment of giant extracranial internal carotid artery aneurysm.