Neurointervention.  2009 Aug;4(2):133-136.

Treatment of Ruptured Dissecting Aneurysm Associated with Fenestration of Vertebral Artery: A Case Report

Affiliations
  • 1Department of Radiology, Chung-Ang University Yongsan Hospital, College of Medicine, Seoul, Korea. flightdr61@cau.ac.kr
  • 2Department of Neurosurgery, Chung-Ang University Yongsan Hospital, College of Medicine, Seoul, Korea.

Abstract

Fenestration of vertebral artery is hemodynamically associated with aneurysm and other vascular injury. Dissecting aneurysm in intracranial fenestration of vertebral artery is very rare disease and hardly reported. We present a 65-year-old man with ruptured dissecting aneurysm in distal vertebral artery fenestration, which was treated by coil embolization. Final vertebral angiogram shows bypass flow through the other artery of fenestration into basilar artery. In addition, modality of treatment in dissecting aneurysm will be discussed.

Keyword

Vertebral artery; Dissection; Fenestration; Coil embolization; Subarachnoid hemorrhage

MeSH Terms

Aged
Aneurysm
Aneurysm, Dissecting*
Arteries
Basilar Artery
Embolization, Therapeutic
Humans
Rare Diseases
Subarachnoid Hemorrhage
Vascular System Injuries
Vertebral Artery*
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