Rebleeding from clipped aneurysm after 35 years: Report of 2 cases
| Autor: | Keizoh Asakuno, Miki Yuzawa, Kaku Niimura, Haruko Yoshimoto, Akio Nemoto, Seigo Matsuo, Atsushi Ishida, Hideki Shiramizu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage subarachnoid hemorrhage Long term follow up medicine.medical_treatment education Case Report Aneurysm medicine cardiovascular diseases CLIPS Long-term follow-up computer.programming_language Elemental composition business.industry Clipping (medicine) Case description medicine.disease nervous system diseases Surgery surgical procedures operative cardiovascular system Neurology (clinical) business computer rebleeding |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.4103/2152-7806.162552 |
| Popis: | BACKGROUND: A successfully applied clip for a ruptured aneurysm keeps the aneurysm's neck closed, preventing rerupture throughout the patient's life. Unfortunately, rebleeding from a clipped aneurysm does occur, but the likelihood declines with time. Since relatively old people suffer from subarachnoid hemorrhage, they die from diseases other than rebleeding, such as cancer. Therefore, rebleeding from a clipped aneurysm after two decades is quite rare. CASE DESCRIPTION: Here, we report 2 cases of rerupture after an extremely long time since the initial clipping. In both cases, the old clip was removed, and the regrown gourd-shaped aneurysm was successfully obliterated. The clips in both cases were submitted to their manufacturers and inspected thoroughly. They were found to be second-generation, stainless steel clips, and were almost intact, even keeping their closing forces. In both cases, the clip existed on the surface of the newly made dome, and the previous dome completely disappeared. CONCLUSIONS: We experienced 2 cases of rebleeding from the clipped aneurysm after 35 years. In one of the cases, the clip was a Yasargil second generation stainless steel clip that retained its mechanical properties and surface elemental composition in vivo for a long time. These cases should be informative as they show extremely long-term course of a clip applied for a ruptured aneurysm. |
| Databáze: | OpenAIRE |
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