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Abstract - Case Report
| J Cerebrovasc Endovasc Neurosurg. 2024 26(1): 65-70 ¨Ï The Journal of Cerebrovascular and Endovascular Neurosurgery |
 
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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. Dmytriw1,2, Sahibjot Grewal2, Nicole M. Cancelliere2, Aman B. Patel1, Vitor Mendes Pereira2, Xiaolu Ren3,4 |
| 1Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women¡¯s Hospital, Harvard Medical School, Boston, USA 2Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael¡¯s Hospital, University of Toronto, Toronto, Canada 3Department of Neurosurgery and Laboratory of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, People¡¯s Republic of China 4Institute of Neurology, Lanzhou University, Lanzhou, People¡¯s Republic of China |
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| 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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| Key words : Interventional neuroradiology, Endovascular aneurysm repair, Flow diversion, Tetralogy of Fallot, Proatlantal artery |
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