Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Emergency In Situ Bypass during Middle Cerebral Artery Aneurysm Surgery : Middle Cerebral Artery-Superficial Temporal Artery Interposition Graft-Middle Cerebral Artery Anastomosis

  • Jung, Jong-Myung (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Oh, Chang-Wan (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Song, Kyung-Sun (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Bang, Jae-Seung (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2011.10.25
  • Accepted : 2012.05.18
  • Published : 2012.05.28
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Abstract

Many reports have been published on complications related to middle cerebral artery (MCA) aneurysm surgical clipping procedures. We report an emergency intracranial in situ bypass surgery case which was performed as a rescue procedure after aneurysmal neck laceration during clipping of an MCA large aneurysm. In this case, we performed in situ M3-superficial temporal artery (STA) interposition graft-M3 bypass procedure. If a STA-MCA anastomosis is not available under MCA flow obstruction, we can consider an emergency in situ MCA-MCA bypass procedure with or without an STA interposition graft.

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References

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