Abstract
The direct surgical treatment of vertebral arteriovenous fistula (AVF) presents serious difficulty and risk. A 5-year-old girl was seen with a complaint of loud bruit in the left neck since birth. Selective angiography of the vertebral artery showed multiple AVF. A combined procedure involving proximal ligation of the vertebral artery and Fogarty balloon occlusion of the distal portion of the AVF was used in our case without complication and with complete cure of AVF.