Rupture of a Vertebral Artery Dissecting Aneurysm Developing Immediately After Trapping of a Dissecting Aneurysm on the Contralateral Vertebral Artery : Case Report
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概要
- 論文の詳細を見る
The development of vertebral artery (VA) dissecting aneurysm after trapping of the contralateral VA is rare, and rupture of angiographically occult VA dissecting aneurysms immediately after trapping is even less common. A 39-year-old man suffered subarachnoid hemorrhage caused by rupture of a left VA dissecting aneurysm. The VA was trapped and the left occipital artery anastomosed to the posterior inferior cerebellar artery. Postoperatively, he suddenly developed apnea and died of rupture of a right VA dissecting aneurysm. Histological examination of the bilateral VAs and the basilar artery disclosed a hematoma between the media and the adventitia. This case further confirms the need for careful preoperative imaging study of the dissection and all segments of the dissected vessel in patients requiring trapping of a VA dissecting aneurysm, as well as preservation of VA anterograde flow.
- 社団法人 日本脳神経外科学会の論文
- 2009-10-15
著者
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TERAMOTO Akira
Departments of Neurosurgery, Nippon Medical School
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Takahashi Hiroshi
Department of Cardiology, Nagoya Kyoritsu Hospital
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Teramoto Akira
Department Of Neurosurgery Nippon Medical School
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KATSUNO Makoto
Department of Neurosurgery, Nippon Medical School
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KOBAYASHI Shiro
Department of Neurosurgery, Chiba Hokusoh Hospital, Nippon Medical School
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MIZUNARI Takayuki
Department of Neurosurgery, Neurological Institute, Chiba Hokuso Hospital, Nippon Medical School
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Katsuno Makoto
Department Of Neurosurgery Nippon Medical School
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Katsuno Makoto
Department Of Emergency And Critical Care Nippon Medical School:(present Office)department Of Neuros
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Teramoto Akira
The Department Of Neurosurgery Nephrology And Rheumatology Nippon Medical School
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Takahashi Hiroshi
Department Of Cardiology Nihon University Surugadai Hospital
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Kominami Shushi
Department Of Neurosurgery Chiba Hokusoh Hospital Nippon Medical School
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Kobayashi Shiro
Department Of Neurosurgery Neurological Institute Chiba Hokuso Hospital Nippon Medical School
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Kobayashi Shiro
Department Of Neurosurgery Chiba Hokuso Hospital Nippon Medical School
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Kitamura Shin
The Second Department Of Internal Medicine Nippon Medical School
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Kobayashi Shiro
Department Of Material Chemistry Graduate School Of Engineering Kyoto University
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Teramoto Akira
Department Of Functional Polymer Science Shinshu University
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Mizunari Takayuki
Department Of Neurosurgery. Neurosurgical Institute Chiba Hokuso Hospital Nippon Medical School
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Kobayashi Shiro
Department Of Neurosurgery Nippon Medical School
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Takahashi Hiroshi
Department Of Neurosurgery Nippon Medical School
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Takahashi Hiroshi
Department Of Applied Aquabiology National Fisheries University
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Mizunari Takayuki
Department Of Neurosurgery Nippon Medical School Chiba-hokusoh Hospital
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