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Complex Bypass Surgery for Multiple Fusiform Aneurysms, Including a Thrombosed Giant Aneurysm of the Middle Cerebral Artery by Ota, Nakao; Petrakakis, Ioannis; Kondo, Tomomasa; Kinoshita, Yu; Noda, Kosumo; Kamiyama, Hiroyasu; Tokuda, Sadahisa; Tanikawa, Rokuya is a Medicine article available to read on EtoBox.
What is Complex Bypass Surgery for Multiple Fusiform Aneurysms, Including a Thrombosed Giant Aneurysm of the Middle Cerebral Artery about?
Treatment of complex middle cerebral artery (MCA) aneurysms are challenging; however, an appropriate surgical strategy can ensure favorable outcomes. Notably, a protective bypass strategy is essential to treat complex aneurysms and involves the creation of a bypass channel distal to the aneurysm before repairing it. A protective bypass enables the surgeon to establish adequate distal blood flow during the approach to the aneurysm, as well as during additional revascularization. This Video 1 describes complex bypass surgery that successfully treated multiple fusiform aneurysms, including a thrombosed giant aneurysm of the MCA. A 12-year-old girl presented with a history of chronic headache and incidentally diagnosed multiple fusiform aneurysms along the course of the right internal carotid artery to the MCA, including a thrombosed giant aneurysm of the M2 segment of the MCA (M2) superior trunk. The aneurysms were treated by trapping and excision along with a superficial temporal artery to MCA triple bypass, and an M2-radial artery graft-M2 bypass. The patient developed mild left hemiparesis postoperatively but recovered well and was discharged with a modified Rankin Scale score of 0
Who reads Complex Bypass Surgery for Multiple Fusiform Aneurysms, Including a Thrombosed Giant Aneurysm of the Middle Cerebral Artery?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Ota, Nakao; Petrakakis, Ioannis; Kondo, Tomomasa; Kinoshita, Yu; Noda, Kosumo; Kamiyama, Hiroyasu; Tokuda, Sadahisa; Tanikawa, Rokuya
- Publisher
- Elsevier ; Elsevier BV (ISSN 1878-8750)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)