Journal of Korean Neurosurgical Society

  • 제52권5호
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  • Pages.501-504
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Surgical Treatment of Giant Serpentine Aneurysm of A2-A3 Segment Distal Anterior Cerebral Artery : Technical Case Report

  • Moon, Hyung Sik (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Kim, Tae Sun (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Joo, Sung-Pil (Department of Neurosurgery, Chonnam National University Hospital and Medical School)
  • 투고 : 2011.11.30
  • 심사 : 2012.11.22
  • 발행 : 2012.11.28
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초록

Objective : To report our surgical experience using in situ end-to-side bypass for giant serpentine distal anterior cerebral artery aneurysm, unsuitable for microsurgical clipping. Methods : A 49-year-old woman presented with headache and intermittent loss of consciousness. The brain computed tomography scan revealed a partially calcified mass in the interhemispheric fissure. On cerebral angiography, that was giant ($30{\times}18mm$ sized), serpentine aneurysm originating from the A2 to A3 segment of the distal anterior cerebral artery (DACA). The aneurysm was trapped with clips, and the right A3 segment to left A3 segment of DACA, end-to-side in situ bypass was performed. Surgical result was favorable, with no newly developed ischemic event in the acute recovery period. Postoperative angiography showed total occlusion of the aneurysm and good patency, with preserved distal flow. Conclusion : Giant fusiform aneurysms of the DACA are extremely rare and can be particularly challenging to treat. End-to-side A3 : A3 bypass with aneurysm trapping could be a treatment modality for these locations.

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참고문헌

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피인용 문헌

  1. Anterior cerebral artery bypass for complex aneurysms: an experience with intracranial-intracranial reconstruction and review of bypass options : Clinical article vol.120, pp.6, 2012, https://doi.org/10.3171/2014.3.jns132219
  2. Study and Therapeutic Progress on Intracranial Serpentine Aneurysms vol.13, pp.6, 2016, https://doi.org/10.7150/ijms.14934
  3. A large thrombosed aneurysm of distal anterior cerebral artery presenting with ischemic stroke because of aneurysmal mass effect: case report vol.39, pp.3, 2017, https://doi.org/10.3995/jstroke.10439
  4. Giant thrombosed aneurysm of the pericallosal artery: clinical observation, literature review vol.83, pp.4, 2019, https://doi.org/10.17116/neiro20198304174
  5. Giant Serpentine Distal Anterior Cerebral Artery Aneurysm Treated with In Situ Side-to-Side A3-A3 Anastomosis and Aneurysm Resection vol.133, pp.None, 2012, https://doi.org/10.1016/j.wneu.2019.09.052