A1-A2 interposition grafting for surgical treatment of a giant "unclippable" A1 segment aneurysm

Erik Friedrich Hauck, Duke Samson

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background: Although various bypass options for the surgical treatment of middle cerebral artery aneurysms have been described, little has been reported about similar options for complex aneurysms of the anterior cerebral artery. Case description: We report the case of a 15-year-old adolescent girl, in whom a giant A1 segment aneurysm was successfully treated with aneurysm resection followed by saphenous vein interposition grafting. Conclusion: Recognizing the option for a bypass can be the key to success in the surgical management of complex intracranial aneurysms. A potential donor vessel of appropriate size (either arterial or venous) should be prospectively identified. Interposition grafting is technically feasible for proximal anterior cerebral artery aneurysms, although technically demanding.

Original languageEnglish (US)
Pages (from-to)600-603
Number of pages4
JournalSurgical neurology
Issue number5
StatePublished - May 2009


  • Anterior cerebral artery
  • Bypass
  • Giant intracranial aneurysm

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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