Internal carotid and subclavian artery aneurysms combined in a single case, diagnosed noninvasively with scintigraphy, are described here. A tomographic brain perfusion study was also performed to evaluate hemispheric perfusion distribution for deciding on the use of a carotid shunt. A carotid angiogram was also obtained before the operation, in which the aneurysms were removed and the artery was repaired with end-to-end primary anas tomosis.
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