The clinical case of a patient with a pseudoaneurysm of the left vertebral artery at the boundary between V2 and V3 segments after a stab wound to the neck is reported. The patient underwent a rare variant of surgical reconstruction of the vertebral artery, including resection of the vertebral artery pseudoaneurysm at the boundary between the V2 and V3 segments, the vertebrovertebral autovenous shunting (from the CIV vertebra to the CI—CII vertebrae with resection of the anterior wall of the vertebral artery canal). Postoperatively, SCT angiography revealed satisfactory blood flow in the shunt and improvement of the neurological status. The article provides a literature review on surgical procedures at the distal portion of the vertebral artery. The surgical technique was illustrated (intraoperative photos), demonstrating that the vertebral artery can be easily mobilized at any part of the V2 segment with minimum damage to the adjacent tissues.