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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm I: Introduction01:30

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Arteries of the Head and Neck01:26

Arteries of the Head and Neck

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The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
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Related Experiment Video

Updated: Mar 11, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Unruptured Basilar Tip Aneurysm with Internal Septation: Coiling Implications?

Ayman Khalil1, Hong Kuan Kok2, Mark Schembri2

  • 1Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.

Case Reports in Neurological Medicine
|November 29, 2016
PubMed
Summary

An internal septum in a basilar artery aneurysm is rare. This case highlights how this anatomical variation impacts endovascular treatment strategies for basilar tip aneurysms.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Medicine

Background:

  • Internal septa within basilar artery aneurysms are exceptionally rare anatomical variations.
  • Basilar tip aneurysms present unique challenges in endovascular treatment.

Purpose of the Study:

  • To report a rare case of a basilar tip aneurysm with an internal septum.
  • To illustrate the influence of this anatomical variation on endovascular treatment planning and execution.

Main Methods:

  • Incidental diagnosis of basilar tip aneurysm in a 62-year-old female.
  • Advanced imaging including magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) to confirm internal septation.
  • Endovascular treatment via coil embolisation with specialized microcatheter and balloon techniques.

Main Results:

  • Successful coil embolisation of both compartments of the septated basilar artery aneurysm.
  • Demonstration of technical challenges and adaptations required for treating septated aneurysms.
  • Confirmation of internal septation as a critical factor in treatment strategy.

Conclusions:

  • Internal septa in basilar artery aneurysms are infrequent but significantly affect endovascular treatment.
  • Careful pre-procedural imaging and tailored techniques are essential for successful management.
  • This case underscores the importance of recognizing and addressing complex aneurysm morphologies.