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Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass
The treatment of complicated anterior cerebral artery aneurysms remains challenging. Here, the authors describe a case of ruptured complicated A3 aneurysm, which was treated with trapping and in-situ bypass. A 47-year-old man presented to the emergency department with severe headache and vomiting. C...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10073768/ https://www.ncbi.nlm.nih.gov/pubmed/35989080 http://dx.doi.org/10.7461/jcen.2022.E2022.01.003 |
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author | Kim, Young Rak Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Ha, Eun Jin Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun |
author_facet | Kim, Young Rak Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Ha, Eun Jin Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun |
author_sort | Kim, Young Rak |
collection | PubMed |
description | The treatment of complicated anterior cerebral artery aneurysms remains challenging. Here, the authors describe a case of ruptured complicated A3 aneurysm, which was treated with trapping and in-situ bypass. A 47-year-old man presented to the emergency department with severe headache and vomiting. Computed tomography illustrated acute intracerebral hemorrhage in the right frontal lobe. Digital subtraction angiography (DSA) confirmed a ruptured fusiform A3 aneurysm with lobulation and a daughter sac. Trapping of the ruptured fusiform A3 aneurysm and distal end-toside A4 anastomosis was performed. DSA on postoperative day 7 showed mild vasospasm to the afferent artery. However, 2 months later, DSA demonstrated that the antegrade flow through the anastomosis site had recovered. Thus, surgeons should be aware of the possibility of postsurgical vasospasm of anastomosed arteries, especially in cases of ruptured aneurysms. |
format | Online Article Text |
id | pubmed-10073768 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-100737682023-04-06 Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass Kim, Young Rak Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Ha, Eun Jin Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun J Cerebrovasc Endovasc Neurosurg Case Report The treatment of complicated anterior cerebral artery aneurysms remains challenging. Here, the authors describe a case of ruptured complicated A3 aneurysm, which was treated with trapping and in-situ bypass. A 47-year-old man presented to the emergency department with severe headache and vomiting. Computed tomography illustrated acute intracerebral hemorrhage in the right frontal lobe. Digital subtraction angiography (DSA) confirmed a ruptured fusiform A3 aneurysm with lobulation and a daughter sac. Trapping of the ruptured fusiform A3 aneurysm and distal end-toside A4 anastomosis was performed. DSA on postoperative day 7 showed mild vasospasm to the afferent artery. However, 2 months later, DSA demonstrated that the antegrade flow through the anastomosis site had recovered. Thus, surgeons should be aware of the possibility of postsurgical vasospasm of anastomosed arteries, especially in cases of ruptured aneurysms. Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society 2023-03 2022-08-22 /pmc/articles/PMC10073768/ /pubmed/35989080 http://dx.doi.org/10.7461/jcen.2022.E2022.01.003 Text en Copyright © 2023 by KSCVS and KoNES https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Young Rak Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Ha, Eun Jin Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass |
title | Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass |
title_full | Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass |
title_fullStr | Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass |
title_full_unstemmed | Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass |
title_short | Trapping and A4-A4 end-to-side anastomosis for the treatment of a ruptured A3 fusiform aneurysm: Potential risk of in-situ bypass |
title_sort | trapping and a4-a4 end-to-side anastomosis for the treatment of a ruptured a3 fusiform aneurysm: potential risk of in-situ bypass |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10073768/ https://www.ncbi.nlm.nih.gov/pubmed/35989080 http://dx.doi.org/10.7461/jcen.2022.E2022.01.003 |
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