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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(04): 321-326
DOI: 10.1055/s-0035-1564580
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Giant Pseudoaneurysm as a delayed Surgical Complication in a Patient Operated on a Giant Neuroma of the Vagus Nerve: Case Report and Management Considerations

Pseudoaneurisma gigante como complicação cirúrgica em paciente operado com neuroma gigante do nervo vago: relato de caso e considerações
Demian Manzano-Lopez
1   Neurosurgery Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
,
Pablo Rubino
2   Neurosurgery Department, Hospital El Cruce, Dr. Néstor Kirchner, Buenos Aires, Argentina
,
Pablo Mendivil Teran
1   Neurosurgery Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
,
Jesús Lafuente Baraza
1   Neurosurgery Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
,
Gerardo Conesa Bertran
1   Neurosurgery Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

20 January 2014

07 August 2015

Publication Date:
28 October 2015 (online)

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Abstract

The vertebral artery has four segments. The horizontal portion of the V3 segment is the most exposed portion of the vertebral artery to potential iatrogenic injuries during surgical approaches to the posterior fossa. We present an unusual case of a patient who was operated on a giant neuroma of the left vagus nerve, with incidental vertebral artery iatrogenic injury, the development of a delayed giant pseudoaneurysm, and the treatment for this complication. We conclude that endovascular treatment may be a good option for the management of this serious surgical complication.

Resumo

A artéria vertebral tem quarto segmentos. A porção horizontal do segmento V3 é a mais exposta a potenciais lesões iatrogênicas durante procedimento cirúrgico de acesso à fossa posterior. Apresentamos caso incomum de paciente submetido à cirurgia para neuroma gigante no nervo vago esquerdo, com acidental lesão da artéria vertebral iatrogênica, desenvolvimento de posterior pseudoaneurisma gigante e tratamento para esta complicação. Concluímos que o tratamento endovascular pode ser uma boa opção para o cuidado desta grave complicação cirúrgica.

Keywords

posterior fossa approach - pseudoaneurysm - vertebral artery - endovascular treatement

Palavras-chave

acesso à fossa posterior - pseudoaneurisma - artéria vertebral - tratamento endovascular
 

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