Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report.

Journal Article (Journal Article)

Large cerebral aneurysms of the basilar apex are difficult to treat. Recently, endovascular treatment has mitigated much of the morbidity associated with treating these lesions. However, the morphology of aneurysms of the vertebrobasilar system can preclude endovascular treatment. Rapid ventricular pacing (RVP) facilitates open surgical treatment of cerebral aneurysms. It can assist in reducing the pressure of the neck of the aneurysm, allowing safe application of a clip. The authors present a case of a pediatric patient who developed a basilar artery pseudoaneurysm that required surgery. Given the large size of the aneurysm, RVP was performed, allowing the surgeons to dissect the dome of the aneurysm from the surrounding tissue and pontine perforating branches away from the lesion to safely clip the lesion. The patient had an uneventful recovery. To the authors' knowledge, this represents the first known case of RVP to aid in basilar artery clip occlusion in a pediatric patient.

Full Text

Duke Authors

Cited Authors

  • Nimjee, SM; Smith, TP; Kanter, RJ; Ames, W; Machovec, KA; Grant, GA; Zomorodi, AR

Published Date

  • June 2015

Published In

Volume / Issue

  • 15 / 6

Start / End Page

  • 625 - 629

PubMed ID

  • 25745950

Electronic International Standard Serial Number (EISSN)

  • 1933-0715

Digital Object Identifier (DOI)

  • 10.3171/2014.11.PEDS14290


  • eng

Conference Location

  • United States