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http://dx.doi.org/10.3340/jkns.2009.46.1.68

In Situ Rescue Bypass for Iatrogenic Avulsion of Parent Artery during Clipping Large Pericallosal Artery Aneurysm  

Park, Jae-Chan (Department of Neurosurgery, Science and Engineering Institute, Kyungpook National University College of Medicine)
Kang, Dong-Hun (Department of Neurosurgery, Science and Engineering Institute, Kyungpook National University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.46, no.1, 2009 , pp. 68-70 More about this Journal
Abstract
A case of large aneurysm arising from the distal end of an azygous A2 segment is presented. Multiple clip application inadvertently tore the aneurysmal neck, resulting in near avulsion of a right pericallosal artery origin. After an unsuccessful attempt to repair the avulsion, it was treated by occlusion of the origin of the pericallosal artery and an A4-A4 anterior cerebral artery in situ bypass without neurological deficits. The surgical technique and previous reports onside-to-side in situ bypass are discussed.
Keywords
Aneurysm; Azygous anterior cerebral artery; In situ bypass procedure; Pericallosal artery;
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