Kissing Aneurysms of the Anterior Communicating Artery Treated With Surgical Clipping: A Case Report and Literature Review.

Autor:	Toader C; Department of Neurosurgery, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, ROU.; Department of Neurosurgery, National Institute of Neurology and Neurovascular Diseases, Bucharest, ROU., Covache-Busuioc RA; Department of Neurosurgery, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, ROU., Bratu BG; Department of Neurosurgery, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, ROU., Corlatescu AD; Department of Neurosurgery, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, ROU., Popa AA; Department of Neurosurgery, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, ROU., Ciurea AV; Department of Neurosurgery, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, ROU.; Department of Neurosurgery, Sanador Clinical Hospital, Bucharest, ROU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 22; Vol. 16 (5), pp. e60824. Date of Electronic Publication: 2024 May 22 (Print Publication: 2024).
DOI:	10.7759/cureus.60824
Abstrakt:	Intracranial "kissing" aneurysms are rare vascular conditions described as two anatomically adjacent aneurysms originating from either the same or different arteries, with their walls pressed together. Two-dimensional angiography was formerly considered the gold standard for diagnosis, with the three-dimensional rotational type now offering more insightful details about vascular discrepancies. The treatment of anterior communicating artery (AcoA) "kissing" aneurysms poses significant challenges, with surgical clipping proving difficult due to their deep midline location or the bilateral anterograde arterial supply. However, advancements in endovascular coil embolization, such as dual-volume reconstruction, can assist in diagnosis. This study presents the case of a 50-year-old patient who was diagnosed with "kissing" aneurysms of the AcoA. The patient underwent surgical clipping and showed no pathological follow-up findings. The surgical intervention often provides a more direct and effective approach. This case contributes to the body of knowledge surrounding the management of this complex disease. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Toader et al.)
Databáze:	MEDLINE
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