Duplication of the distal end of the left vertebral artery with fenestration of the right posterior cerebral artery

Vol. 56 No. 2 Suppl., 2015
This supplement was not sponsored by Outside Organizations.


Horia Ples, Marios Loukas, Nicoleta Iacob, Naomi R. Andall, Gratian Dragoslav Miclaus, R. Shane Tubbs, Petru Matusz

The vertebrobasilar system (VBS) consists in the intracranial parts of the vertebral arteries (VAs), the basilar artery (BA) and its branches. The presence of a duplication at the level of the intracranial segment of VA (V4) is generally an incidental finding, but may be associated with aneurysms or arteriovenous malformations. We present an extremely rare case of duplication of the distal end of the left vertebral artery, associated with fenestration of the right posterior cerebral artery. The distal end of the left VA was duplicated into two arms (the right with a length of 5.5 mm and a diameter of 2.3 mm that connected with the contralateral VA; and the left with a length of 11.0 mm and a diameter of 1.6 mm, which connected more distally with the BA). The right posterior cerebral artery (PCA) had a fenestration in the posterior segment of the posterior communicating part (P2), with a length of 6.8 mm.

Corresponding author: Gratian Dragoslav Miclaus, MD, PhD; e-mail: gratianmiclaus@yahoo.com

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Izabella Petre, Elena Bernad, Anca Muresan, Anca Bordianu, Sandor I. Bernad, Onut Bacean, Roxana Folescu, Amelia Milulescu, Stelian Pantea

Carcinoma of the Fallopian tube is the least frequent tumor of the female genital tract. The diagnosis is difficult but could be made more frequently if the causes of abnormal bleeding were thoroughly investigated by means of cytology and endometrial curettage. Treatment is by resection of the tumor, total hysterectomy, and bilateral salpingo-oophorectomy followed by chemotherapy. A 25-year-old patient, presented herself at the emergency room, accusing intense lower abdominal pains, accompanied by vaginal bleeding. The histological aspect corroborated with the Ki-67 index is strongly suggestive for a choriocarcinoma developed in a tubal ectopic pregnancy.

Corresponding author: Elena Bernad, Assistant Professor, MD, PhD; e-mail: ebernad@yahoo.com

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