Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm: Case report

J. B. Bederson, R. F. Spetzler

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41 Scopus citations

Abstract

The clinical course, operative technique, and angiographic outcome are reported for a patient with a giant intracranial aneurysm of the proximal middle cerebral artery (MCA) who presented with symptoms of ischemia. Treatment of the aneurysm required bypassing the involved MCA bifurcation, but the patient lacked a suitable donor superficial temporal artery. The involved arterial segment was therefore bypassed with a side-to-side anastomosis of the anterior temporal artery to one of the secondary trunks of the MCA. This bypass eliminated the need to harvest a vein graft and re- established flow using in situ intracranial vessels of similar diameter, minimal arterial dissection, and only one suture line.

Original languageEnglish
Pages (from-to)863-866
Number of pages4
JournalJournal of Neurosurgery
Volume76
Issue number5
DOIs
StatePublished - 1992
Externally publishedYes

Keywords

  • aneurysm
  • extracranial-intracranial bypass
  • middle cerebral artery
  • vascular anastomosis

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