Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Treatment of a posterior cerebral artery aneurysm in the context of complex cardio-cerebrovascular variations using the Tubridge flow diverter

  • Adam A. Dmytriw (Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School) ;
  • Sahibjot Grewal (Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto) ;
  • Nicole M. Cancelliere (Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto) ;
  • Aman B. Patel (Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School) ;
  • Vitor Mendes Pereira (Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto) ;
  • Xiaolu Ren (Department of Neurosurgery and Laboratory of Neurosurgery, Lanzhou University Second Hospital)
  • Received : 2023.04.14
  • Accepted : 2023.07.14
  • Published : 2024.03.31
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Abstract

We present a case of intracranial aneurysm located in the P1 segment of left posterior cerebral artery in the context of tetralogy of Fallot. Complex variations included right aortic arch with abnormal branching. Also, the bilateral vertebral arteries were absent, with a type I persistent proatlantal intersegmental artery of the left side. The aneurysm was treated with endovascular intervention with a Tubridge flow diverter and was noted to be completely cured on 6-month follow-up. We discuss the many considerations in this patient including developmental and modern-era treatment.

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References

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