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 journalArticle

1 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 languageEnglish (US)
Pages (from-to)165-168
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume2
Issue number4
DOIs
StatePublished - Dec 1 2016

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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