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CASE REPORT
Year : 2021  |  Volume : 9  |  Issue : 1  |  Page : 38-40

Endovascular treatment of a saccular aneurysm associated with fenestrated basilar artery and proximal stenosis of vertebral artery origin - A treatment challenge


Department of Neurosurgery, Topiwala National Medical College, B.Y.L. Nair Ch. Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Trimurti D Nadkarni
Department of Neurosurgery, Topiwala National Medical College, B.Y.L. Nair Ch. Hospital, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvs.jcvs_28_20

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A 52-year-old woman had subarachnoid haemorrhage due to an aneurysm at a fenestration of the vertebrobasilar artery junction. The fenestration and aneurysm filled by the dominant left vertebral artery (VA). The left VA had a tight stenosis at its origin from the left subclavian artery. The patient underwent a stent-assisted coiling of the aneurysm after balloon dilatation of the proximal stenosis. The management of this unusual and rare entity is discussed. The relevant literature on the subject is presented.


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