Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8836177 | Journal of Vascular Surgery Cases and Innovative Techniques | 2016 | 4 Pages |
Abstract
A 47-year-old woman presented with a right cervical mass that had been slowly enlarging for 6 years, causing pulsatile tinnitus and dizziness with compression. Computed tomography angiography demonstrated a partially thrombosed 8-cm right internal carotid artery aneurysm with a coexisting arteriovenous fistula. Conventional angiography demonstrated a vertebrojugular fistula (right vertebral artery to right internal jugular vein) and retrograde flow in the right vertebral artery to the fistula. Successful repair was performed in a staged fashion: operative repair of the internal carotid artery aneurysm with interposition bypass, followed by endovascular embolization of the vertebrojugular fistula through a bilateral vertebral artery approach.
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Authors
Marlin Wayne MD, Daniel M. MD, PhD, Bala MD, Christopher F. MD, Charles M. MD,