Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula

Marlin Wayne Causey; Daniel M. Balkin; Bala Ramanan; Christopher F. Dowd; Charles M. Eichler

doi:10.1016/j.jvscit.2016.04.006

Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula

Marlin Wayne Causey, Daniel M. Balkin, Bala Ramanan, Christopher F. Dowd, Charles M. Eichler

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

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.

Original language	English (US)
Pages (from-to)	165-168
Number of pages	4
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	2
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2016.04.006
State	Published - Dec 1 2016

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2016.04.006

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title = "Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula",

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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AU - Causey, Marlin Wayne

AU - Balkin, Daniel M.

AU - Ramanan, Bala

AU - Dowd, Christopher F.

AU - Eichler, Charles M.

PY - 2016/12/1

Y1 - 2016/12/1

N2 - 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.

AB - 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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Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula

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