Flow recovery after posterior clinoidectomy for surgical clipping of anterior choroidal aneurysm.
| Autor: | Gallardo FC; Department of Neurosurgery, Hospital de Alta Complejidad en Red El Cruce, Florencio Varela, Argentina., Bottan JS; Department of Neurosurgery, Hospital General de Niños Pedro de Elizalde, Buenos Aires, Argentina., Martin C; Department of Neurosurgery, Hospital de Alta Complejidad en Red El Cruce, Florencio Varela, Argentina., Carcia AAT; Department of Neurosurgery, Hospital de Alta Complejidad en Red El Cruce, Florencio Varela, Argentina., Arevalo RP; Department of Neurosurgery, Hospital de Alta Complejidad en Red El Cruce, Florencio Varela, Argentina., Rubino PA; Department of Neurosurgery, Hospital de Alta Complejidad en Red El Cruce, Florencio Varela, Argentina. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of cerebrovascular and endovascular neurosurgery [J Cerebrovasc Endovasc Neurosurg] 2021 Dec; Vol. 23 (4), pp. 343-347. Date of Electronic Publication: 2021 Dec 17. |
| DOI: | 10.7461/jcen.2021.E2021.05.004 |
| Abstrakt: | Inadvertent flow alterations in the parent artery during microsurgical clipping might produce postoperative ischemic complications. Intraoperative recognition of such alterations and its correction might improve operative outcomes in these patients. We present the case of a thirty-five-year-old male with an incidental small left anterior choroidal aneurysm. Microsurgical clipping induced an external compression of the anterior choroidal artery against the posterior clinoidal process which was identified in situ through surgical exploration and the loss of arterial doppler signal in the vessel. After failed attempts at clip repositioning, a posterior clinoidectomy was performed to decompress the artery. This resulted in arterial flow recovery. The aneurysm was successfully treated, and a severe ischemic complication was likely avoided. This intraoperative phenomenon has not yet been described in the literature. |
| Databáze: | MEDLINE |
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