Resection and anastomosis of a cervical vertebral artery aneurysm

Abstract

A patient with a fusiform aneurysm of the cervical vertebral artery at C-1 presenting with posterior circulation infarctions is reported. Exposure via the posterolateral approach, resection of the aneurysm, and end-to-end anastomosis are described. The authors emphasize the importance of the surgical approach and ability to expose and mobilize a generous portion of the cervical vertebral artery.

Chronic fusiform extracranial vertebral artery aneurysm with recurrent posterior circulation emboli: Case report and review of the literature

“…To date we have identified twenty-seven patients where a chronic or primary aneurysm of the extracranial circulation was treated, 5 , 7 , 9 – 15 , 17 , 20 – 29 twelve of which were not associated with a connective tissue disorder ( Table 1 ), acute traumatic aneurysms were not reviewed. Nine of these cases were treated with endovascular techniques 7 , 14 , 16 , 21 , 24 – 27 , 30 whilst the remainder underwent surgical resection with additional reconstruction or bypass.…”