Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm: Technical case report

Tomohiro Inoue, Kazuo Tsutsumi, Hiroyasu Ohno, Munehisa Shinozaki, Robert A. Solomon, H. Hunt Batjer

Research output: Contribution to journalArticle

22 Citations (Scopus)

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 languageEnglish (US)
JournalNeurosurgery
Volume57
Issue number1 SUPPL.
DOIs
StatePublished - Jul 2005

Fingerprint

Anterior Cerebral Artery
Temporal Arteries
Radial Artery
Intracranial Aneurysm
Transplants
Aneurysm
Cerebrovascular Circulation
Cerebral Revascularization
varespladib methyl
Angiography
Thrombosis

Keywords

  • A3-A3 anastomosis
  • Giant anterior communicating artery aneurysm
  • Radial artery graft
  • Revascularization

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm : Technical case report. / Inoue, Tomohiro; Tsutsumi, Kazuo; Ohno, Hiroyasu; Shinozaki, Munehisa; Solomon, Robert A.; Batjer, H. Hunt.

In: Neurosurgery, Vol. 57, No. 1 SUPPL., 07.2005.

Research output: Contribution to journalArticle

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AU - Tsutsumi, Kazuo

AU - Ohno, Hiroyasu

AU - Shinozaki, Munehisa

AU - Solomon, Robert A.

AU - Batjer, H. Hunt

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AB - 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.

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