| Autor: |
Gómez-Amador JL; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Tovar-Romero LA; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Castillo-Matus A; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Marian-Magaña R; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Aragón-Arreola JF; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Sangrador-Deitos MV; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Hernández-Hernández A; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., López-Valencia G; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Guinto-Nishimura GY; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Ríos-Zermeño J; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico. |
| Abstrakt: |
Thrombectomy procedures following intra-aneurysmatic lesions are extremely rare, and few cases have been reported. This article describes a microsurgical intra-aneurysmatic thrombectomy (MIaT) for a distal anterior cerebral artery (DACA) aneurysm. We present the case of a 48-year-old female that was admitted to the emergency room, showing neurologic deterioration with focal deficits. A computed tomography angiography (CTA) scan revealed an aneurysm located in the distal segment of the left anterior cerebral artery. During the surgical procedure, after clipping, a wellformed clot was visualized through the aneurysm's wall obstructing the left DACA flow. We proceeded to open the aneurysm's dome to remove the thrombus and clip the aneurysm neck, re-establishing the flow of the left DACA. Intra-aneurysmatic thrombosis can occur as a complication during clipping, obstructing the distal flow of vital arteries and causing fatal results in the patient's postoperative status. MIaT is a good technique for restoring the flow of the affected vessel and allows a secure aneurysm clipping after thrombus removal. |
