A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report

A giant fusiform aneurysm of the middle cerebral artery is a disease that causes many difficulties for endovascular intervention as well as surgery. No 1 solution is optimal for all cases, however for post-bifurcation aneurysms, trapping the aneurysms with a reanastomosis reimplantation, an in situ...

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Autores principales: Duy Ton Mai, PhD, MD, MSc, Trung Kien Tran, MD, Tien Dung Nguyen, MD, Quoc Viet Bui, MD, Trung Hieu Dinh, MD, Viet Phuong Dao, PhD, MD, The Hao Nguyen, PhD, MD
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Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/b230e5a90c67406aa7bf438217593f61
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spelling oai:doaj.org-article:b230e5a90c67406aa7bf438217593f612021-11-30T04:15:24ZA giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report1930-043310.1016/j.radcr.2021.10.050https://doaj.org/article/b230e5a90c67406aa7bf438217593f612022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007664https://doaj.org/toc/1930-0433A giant fusiform aneurysm of the middle cerebral artery is a disease that causes many difficulties for endovascular intervention as well as surgery. No 1 solution is optimal for all cases, however for post-bifurcation aneurysms, trapping the aneurysms with a reanastomosis reimplantation, an in situ side to side bypass is feasible and has good results. We reported a 28-year-old male patient, admitted to the hospital because of severe headache, Glasgow Coma Scale 13 points, left hemiplegia, was diagnosed with subarachnoid hemorrhage due to rupture of a giant fusiform aneurysm of the middle cerebral artery in the M2 segment, Hunt and Hess grade 4. The patient underwent microsurgery with clipping aneurysm combined with a low-flow technique connecting the superficial temporal artery to the middle cerebral artery. Our findings suggest that surgery to connect the superficial temporal artery to the M2 segment and at the same time obstructing the parent artery occlusion of selected giant MCA aneurysm is an option to considerDuy Ton Mai, PhD, MD, MScTrung Kien Tran, MDTien Dung Nguyen, MDQuoc Viet Bui, MDTrung Hieu Dinh, MDViet Phuong Dao, PhD, MDThe Hao Nguyen, PhD, MDElsevierarticleGrant fusiform aneurysmSurgeryMiddle cerebral arteryMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 254-258 (2022)
institution DOAJ
collection DOAJ
language EN
topic Grant fusiform aneurysm
Surgery
Middle cerebral artery
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle Grant fusiform aneurysm
Surgery
Middle cerebral artery
Medical physics. Medical radiology. Nuclear medicine
R895-920
Duy Ton Mai, PhD, MD, MSc
Trung Kien Tran, MD
Tien Dung Nguyen, MD
Quoc Viet Bui, MD
Trung Hieu Dinh, MD
Viet Phuong Dao, PhD, MD
The Hao Nguyen, PhD, MD
A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report
description A giant fusiform aneurysm of the middle cerebral artery is a disease that causes many difficulties for endovascular intervention as well as surgery. No 1 solution is optimal for all cases, however for post-bifurcation aneurysms, trapping the aneurysms with a reanastomosis reimplantation, an in situ side to side bypass is feasible and has good results. We reported a 28-year-old male patient, admitted to the hospital because of severe headache, Glasgow Coma Scale 13 points, left hemiplegia, was diagnosed with subarachnoid hemorrhage due to rupture of a giant fusiform aneurysm of the middle cerebral artery in the M2 segment, Hunt and Hess grade 4. The patient underwent microsurgery with clipping aneurysm combined with a low-flow technique connecting the superficial temporal artery to the middle cerebral artery. Our findings suggest that surgery to connect the superficial temporal artery to the M2 segment and at the same time obstructing the parent artery occlusion of selected giant MCA aneurysm is an option to consider
format article
author Duy Ton Mai, PhD, MD, MSc
Trung Kien Tran, MD
Tien Dung Nguyen, MD
Quoc Viet Bui, MD
Trung Hieu Dinh, MD
Viet Phuong Dao, PhD, MD
The Hao Nguyen, PhD, MD
author_facet Duy Ton Mai, PhD, MD, MSc
Trung Kien Tran, MD
Tien Dung Nguyen, MD
Quoc Viet Bui, MD
Trung Hieu Dinh, MD
Viet Phuong Dao, PhD, MD
The Hao Nguyen, PhD, MD
author_sort Duy Ton Mai, PhD, MD, MSc
title A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report
title_short A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report
title_full A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report
title_fullStr A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report
title_full_unstemmed A giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: A case report
title_sort giant fusiform middle cerebral artery treated by low-flow superficial temporal artery bypass: a case report
publisher Elsevier
publishDate 2022
url https://doaj.org/article/b230e5a90c67406aa7bf438217593f61
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