Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula

Marlin Wayne Causey, MD; Daniel M. Balkin, MD, PhD; Bala Ramanan, MD; Christopher F. Dowd, MD; Charles M. Eichler, MD

doi:10.1016/j.jvscit.2016.04.006

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2016)

Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula

Marlin Wayne Causey, MD,
Daniel M. Balkin, MD, PhD,
Bala Ramanan, MD,
Christopher F. Dowd, MD,
Charles M. Eichler, MD

Affiliations

Marlin Wayne Causey, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, Calif
Daniel M. Balkin, MD, PhD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, Calif
Bala Ramanan, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, Calif
Christopher F. Dowd, MD: Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, Calif
Charles M. Eichler, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, Calif

DOI: https://doi.org/10.1016/j.jvscit.2016.04.006
Journal volume & issue: Vol. 2, no. 4
pp. 165 – 168

Abstract

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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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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