Giant aneurysms of the vertebral artery. Report of five cases.

Abstract:

:The authors report five cases of surgically treated giant vertebral artery aneurysm. Two giant serpentine aneurysms were managed with aneurysmectomy, a giant semifusiform aneurysm with trapping and partial aneurysmectomy, and the other two saccular giant aneurysms with clipping. Surgical results were satisfactory in all cases. In particular, the two patients who underwent complete aneurysmectomy showed remarkable improvement after the second procedure of a two-stage operation that consisted of initial proximal occlusion and secondary evacuation of clots in the aneurysm when advanced thrombosis was identified. Aneurysmectomy in a two-stage operation was the best treatment for these partially thrombosed giant aneurysms which completely concealed the distal artery under a tight thinned medulla.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Sugita K,Kobayashi S,Takemae T,Tanaka Y,Okudera H,Ohsawa M

doi

10.3171/jns.1988.68.6.0960

subject

Has Abstract

pub_date

1988-06-01 00:00:00

pages

960-6

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

68

pub_type

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