J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803438
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PICA to Vertebral Artery Re-Implantation Bypass for the Management of Proximal PICA Aneurysm

Hussam Abou-Al-Shaar
1   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Arka N. Mallela
1   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Georgios A. Zenonos
1   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
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    The authors present a case of 68-year-old male with an incidental right PICA aneurysm diagnosed during the workup of left-sided tinnitus. Neurological examination was unremarkable. Computed tomography angiogram and digital subtraction angiography depicted a right complex lateral medullary segment PICA aneurysm. He underwent a right far lateral approach for PICA to vertebral artery in situ re-implantation bypass with clipping of the PICA takeoff. The patient tolerated the procedure well and he was discharged home.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

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