A 45-year-old man presents with abdominal pain and hypeension. On physical examination, he is found to have an abdominal mass. Fuher workup confirms the diagnosis of adult polycystic kidney disease. Which of the following vascular complications is associated with this condition?

Berry aneurysms, Occur in patients with adult polycystic kidney disease, Small saccular lesions that develop at the site of congenital weakness of cerebral aeries, especially those of the circle of Willis. Rupture of these aneurysms is the most common cause of subarachnoid hemorrhage. Aeriovenous fistulas are often secondary to trauma. Dissecting aneurysm is associated with hypeension or with diseases affecting the vascular media, most notably Marfan syndrome. Syphilitic (luetic) aneurysm is associated with teiary syphilis.