Abstract
OBJECTIVE AND IMPORTANCE: How to manage the distal anterior cerebral artery (ACA) circulation in the treatment of a giant anterior communicating artery aneurysm or a giant azygous A2 aneurysm is still controversial. CLINICAL PRESENTATION: We are reporting the case of a 70-year-old man who presented with an evolving giant thrombosed anterior communicating artery aneurysm. INTERVENTION: He was successfully treated by trapping the aneurysm in conjunction with an A3-A3 side-to-side anastomosis and a superficial temporal artery bypass using an A3-radial artery graft. The postoperative angiography showed an excellent filling of all the bilateral distal ACA area through the bypass. CONCLUSION: In cases in which direct clipping to preserve distal ACA flow is quite difficult, the bilateral ACA revascularization described here should be considered as another possibility.
Original language | English (US) |
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Pages (from-to) | ONS-207 |
Journal | Neurosurgery |
Volume | 57 |
Issue number | 1 SUPPL. |
DOIs | |
State | Published - Jul 2005 |
Keywords
- A3-A3 anastomosis
- Giant anterior communicating artery aneurysm
- Radial artery graft
- Revascularization
ASJC Scopus subject areas
- Clinical Neurology
- Surgery