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http://dx.doi.org/10.3340/jkns.2013.54.6.511

Revascularization for Symptomatic Occlusion of the Anterior Cerebral Artery Using Superficial Temporal Artery  

Lee, Sang Chul (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine)
Ahn, Jun Hyong (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine)
Kang, Hyun-Seung (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine)
Kim, Jeong Eun (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.54, no.6, 2013 , pp. 511-514 More about this Journal
Abstract
Isolated symptomatic occlusion of the anterior cerebral artery (ACA) is a rare condition and until date, only few cases regarding the revascularization of the ACA have been reported. This paper reports on successful attempt to revascularize the ACA using superficial temporal artery (STA) in patient with isolated symptomatic occlusion of the ACA. A 69-year-old man presented with several episodes of transient weakness involving left lower extremity. Cerebral angiography showed occlusion of the right ACA at the A2 segment. After medical treatment failure, the patient underwent STA-ACA bypass surgery. Subsequent to surgery, there was immediate disappearance of transient ischemic attack and follow-up angiography showed favorable revascularization of the ACA territory. Bypass surgery can be considered in the patients with symptomatic occlusion of the ACA, who have experienced failure in medical treatment.
Keywords
Anterior cerebral artery; Superficial temporal artery; Occlusion; Bypass;
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