Direct clip obliteration of a ruptured giant aneurysm of the posterior communicating artery: case report
| Autor: | Takashi Ohmoto, Mitsuo Kuriyama, Takashi Tamiya, Kengo Matsumoto |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Fusiform Aneurysm Aneurysm Ruptured Ventriculoperitoneal Shunt Aneurysm Postoperative Complications medicine.artery medicine Image Processing Computer-Assisted Humans cardiovascular diseases Posterior communicating artery Craniotomy Neurologic Examination Palsy medicine.diagnostic_test business.industry Intracranial Aneurysm Subarachnoid Hemorrhage medicine.disease Surgical Instruments Surgery Cerebral Angiography Angiography cardiovascular system Neurology (clinical) Radiology business Tomography X-Ray Computed Cerebral angiography |
| Zdroj: | Neurosurgery. 41(4) |
| ISSN: | 0148-396X |
| Popis: | OBJECTIVE AND IMPORTANCE: A review of the literature documents that giant posterior communicating artery (PCoA) aneurysms are rare. To our knowledge, this report is the first to describe a ruptured giant aneurysm arising from a PCoA that was successfully clipped. CLINICAL PRESENTATION: A 27-year-old man had a left oculomotor palsy and then suffered a subarachnoid hemorrhage. Cerebral angiography and three-dimensional computed tomographic angiography revealed a giant fusiform aneurysm of the left PCoA. These imaging techniques documented the rapid growth of the aneurysm from a moderate to a giant size in fewer than 3 days. INTERVENTION: The patient underwent a left subtemporal craniotomy. The neck was constructed and was successfully clipped, and the PCoA was reconstructed with five sequentially placed fenestrated clips in a tandem fashion. The patient experienced a good recovery. CONCLUSION: This report describes the usefulness of three-dimensional computed tomographic angiography in planning the surgical approach to giant aneurysms originating from the PCoA and the use of fenestrated clips to obliterate giant fusiform aneurysms. |
| Databáze: | OpenAIRE |
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