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Vertebral aneurysm of the neck
J Sumimura1, K Nakao, M Miyata
1First Department of Surgery, Osaka University Medical School, Japan.
The Journal of Cardiovascular Surgery
|January 1, 1988
Summary
A rare, huge vertebral artery aneurysm extending from clavicle to mandible was successfully resected using hypothermia. This complex case highlights potential complications of cervical spine surgery and successful management strategies for vertebral aneurysms.
Area of Science:
- Vascular Surgery
- Neurosurgery
- Cervical Spine Surgery
Background:
- Vertebral artery aneurysms are uncommon vascular lesions.
- Cervical spine surgery, such as laminectomy, can rarely lead to vertebral artery injury.
- Giant aneurysms pose significant surgical challenges due to their size and location.
Observation:
- A patient developed a massive vertebral artery aneurysm after a laminectomy for spinal caries.
- The aneurysm extended from the clavicle to the mandibular region.
- This represents a rare complication of previous cervical spine surgery.
Findings:
- The giant vertebral aneurysm was successfully resected using hypothermia to protect the brain.
- One vertebral artery was ligated during the procedure.
- No cerebral damage occurred despite the arterial ligation.
Implications:
- This case demonstrates a rare but severe complication of cervical spine surgery.
- Surgical resection under hypothermia is a viable strategy for managing large vertebral aneurysms.
- Early recognition and management are crucial for favorable outcomes in such complex cases.