2025 Proffered Presentations
V037: PICA TO VERTEBRAL ARTERY RE-IMPLANTATION BYPASS FOR THE MANAGEMENT OF PROXIMAL PICA ANEURYSM
Hussam Abou-Al-Shaar, MD; Arka N Mallela, MD, MS; Georgios A Zenonos, MD; University of Pittsburgh Medical Center
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.