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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2022
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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) |
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Grant fusiform aneurysm Surgery Middle cerebral artery Medical physics. Medical radiology. Nuclear medicine R895-920 |
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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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