o:3198 Extracranial vertebral artery aneurysm rupture complicated by extrapleural haematoma en INTRODUCTION: Extracranial vertebral artery aneurysm (EVAA) and extrapleural haematoma (EH) are rare clinical findings most often associated with blunt or penetrating trauma. However, EVAA rupture can be complicated by development of a large EH. REPORT: A 50 year old man underwent an emergency thrombectomy followed by graft reconstruction of an aorto-bi-femoral bypass. The post-operative course was complicated by respiratory failure and severe anaemia. Computed tomography revealed EVAA rupture and EH, so ligation of EVAA was performed with thoracotomy. DISCUSSION: In a patient with extensive peripheral vascular disease and rapid development of EH, the rupture of a supra-aortic vessel aneurysm might be considered. Key words: extracranial vertebral artery, aneurysm, rupture, extrapleural haematomaradial artery 91552100 128647433 1552101 2405-6553 1552099 10.1016/j.ejvssr.2018.01.001 2023-11-08T14:54:51.680Z 44 yes 46 Dragan Nenadić 19196263 2018 46 Milijana Balević 53608457 0009-0000-4787-2437 2018 46 Milan Milojević 106163721 0000-0003-0984-9011 2018 46 Slobodan Tanasković 19201127 0000-0003-4216-6693 2018 application/pdf 544080 https://unilib.phaidrabg.rs/o:3198 no yes 18 70 616.13‑007.64 92000006 71A11 EJVES short reports 38 12 14 2018