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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 1004-1007
DOI: 10.4103/ajns.AJNS_113_19
Case Report

Microvascular revascularization for recurrent A1 anterior cerebral artery aneurysm postendovascular treatment: A case report and review of the literature

Aaron Musara
Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare
,
Yasuhiro Yamada
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
,
Katsumi Takizawa
2   Department of Neurosurgery, Asahikawa Red Cross Hospital, Hokkaido
,
Kenichi Haraguchi
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
,
Tsukasa Kawase
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
,
Riki Tanaka
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
,
Kyosuke Miyatani
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
,
Takao Teranishi
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
,
Krishna Mohan
3   Department of Neurosurgery, KIMS Hospital, Nellore, Andhra Pradesh
,
Yoko Kato
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
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The recurrence of aneurysms postcoil embolization is a common occurrence. Endovascular coiling has been noted to be more effective for small lesions rather than the giant aneurysms. A postembolization recurrent aneurysm is a difficult condition to manage. We present a case of a recurrent giant aneurysm of the anterior cerebral arteries (ACAs) first segment (A1). It was managed by superficial temporal artery to A3 segment of anterior cerebral artery bypass anastomotic revascularization plus distal A1- segment clipping. A literature review is presented for the management of giant A1 artery aneurysms.

Key-words:

Aneurysm - coil embolization - clipping - cranial bypass - giant aneurysm - revascularization

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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