is the build-up of fatty deposits in the walls of arteries. These plaques narrow blood vessels & restrict flow. If they crack, they can release fatty materials & trigger a clot which may block the vessel entirely.

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Most intraop ruptures occur from the aneurysm dome. The most dangerous situation is a tear at the aneurysm neck. This can occur because of a neck fracture at the level of an atheroma or if the tips of the blades penetrate the neck during blind clipping.
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Incomplete closure of the atherosclerotic neck can cause intraoperative rupture. Here, the distal atheroma prevents approximation of the clip blades.
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