Treatment of a posterior cerebral artery aneurysm in the context of complex cardio-cerebrovascular variations using the Tubridge flow diverter
	    		
		   		
		   			
		   		
	    	
    	 
    	10.7461/jcen.2023.E2023.04.009
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Adam A. DMYTRIW
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sahibjot GREWAL
			        		
			        		;
		        		
		        		
		        		
			        		Nicole M. CANCELLIERE
			        		
			        		;
		        		
		        		
		        		
			        		Aman B. PATEL
			        		
			        		;
		        		
		        		
		        		
			        		Vitor Mendes PEREIRA
			        		
			        		;
		        		
		        		
		        		
			        		Xiaolu REN
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women’s Hospital, Harvard Medical School, Boston, USA
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Case Report
 
        	
        	
            
            
            	- From:Journal of Cerebrovascular and Endovascular Neurosurgery
	            		
	            		 2024;26(1):65-70
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	 We present a case of intracranial aneurysm located in the P1 segment of left posterior cerebral artery in the context of tetralogy of Fallot. Complex variations included right aortic arch with abnormal branching. Also, the bilateral vertebral arteries were absent, with a type I persistent proatlantal intersegmental artery of the left side. The aneurysm was treated with endovascular intervention with a Tubridge flow diverter and was noted to be completely cured on 6-month follow-up. We discuss the many considerations in this patient including developmental and modern-era treatment.