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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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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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Related Experiment Video

Updated: Aug 8, 2025

Endovascular Perforation Model for Subarachnoid Hemorrhage Combined with Magnetic Resonance Imaging MRI
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Transpetrosal Approach to a Ruptured Distal Basilar Perforating Artery Aneurysm.

Yasaman Alam1, Travis Atchley1, Nicholas Laskay1

  • 1Neurological Surgery, University of Alabama at Birmingham, Birmingham, USA.

Cureus
|March 2, 2023
PubMed
Summary
This summary is machine-generated.

Basilar perforating artery aneurysms are rare. This case highlights the challenges of treating these aneurysms, detailing a successful open surgical approach after failed endovascular attempts for a ruptured distal basilar perforating artery aneurysm.

Keywords:
basilar artery aneurysmbasilar perforating aneurysmcerebrovascular surgeryoperative videotranspetrosal approach

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Area of Science:

  • Neurosurgery
  • Vascular Neurology
  • Interventional Neuroradiology

Background:

  • Basilar perforating artery aneurysms are uncommon cerebrovascular lesions.
  • Treatment strategies vary, including open surgery, endovascular methods, and conservative management.
  • These aneurysms present diagnostic and therapeutic challenges.

Observation:

  • A 67-year-old male presented with subarachnoid hemorrhage (SAH) from a ruptured distal basilar perforating artery aneurysm.
  • Initial angiography was negative, but a re-rupture revealed the aneurysm.
  • Endovascular coil embolization attempts were unsuccessful.

Findings:

  • A ruptured distal basilar perforating artery aneurysm was successfully secured using an open transpetrosal approach.
  • This surgical technique provided access to the basilar artery for definitive aneurysm treatment.
  • The case illustrates the unpredictable nature and treatment complexities of basilar perforating artery aneurysms.

Implications:

  • Open surgical approaches remain a viable option for complex or previously untreated basilar perforating artery aneurysms.
  • This case emphasizes the importance of considering surgical intervention when endovascular treatments fail.
  • Detailed case reporting and video demonstrations aid in understanding and managing these rare vascular anomalies.