Giant intracranial aneurysm of the anterior communicating artery treated by direct surgery using A3-A3 side-to-side anastomosis and A3-RA graft-STA anastomosis.

Abstract:

:We describe a giant aneurysm of the anterior communicating artery (ACoA) which was treated with a STA-RA graft-A3 bonnet bypass and A3-A3 side-to-side anastomosis. A giant and partially thrombosed ACoA aneurysm was partially coated 3 years before his current presentation, its gradual increase producing visual field disturbances. An A3-A3 side-to-side anastomosis and STA-RA graft-A3 bonnet bypass were performed. The aneurysm was dissected, and the thrombus removed under transient parent-artery occlusion. The aneurysmal neck was successfully clipped without encountering ischemic changes. This strategy may be useful for treating giant or thrombosed aneurysms in the region of the ACoA.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Kim K,Mizunari T,Mizutani N,Kobayashi S,Takizawa K,Kamiyama H,Murai Y,Teramoto A

doi

10.1007/s00701-005-0685-1

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

353-7; discussion 357

issue

3

eissn

0001-6268

issn

0942-0940

journal_volume

148

pub_type

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