• Acta neurochirurgica · Mar 2006

    Case Reports

    Giant intracranial aneurysm of the anterior communicating artery treated by direct surgery using A3-A3 side-to-side anastomosis and A3-RA graft-STA anastomosis.

    • K Kim, T Mizunari, N Mizutani, S Kobayashi, K Takizawa, H Kamiyama, Y Murai, and A Teramoto.
    • Department of Neurosurgery, Neurosurgical Institute, Chiba Hokuso Hospital, Nippon Medical School, Japan. kyongson@nms.ac.jp
    • Acta Neurochir (Wien). 2006 Mar 1;148(3):353-7; discussion 357.

    AbstractWe describe a giant aneurysm of the anterior communicating artery (ACoA) which was treated with a STA-RA graft-A3 bonnet bypass and A3-A3 side-to-side anastomosis. A giant and partially thrombosed ACoA aneurysm was partially coated 3 years before his current presentation, its gradual increase producing visual field disturbances. An A3-A3 side-to-side anastomosis and STA-RA graft-A3 bonnet bypass were performed. The aneurysm was dissected, and the thrombus removed under transient parent-artery occlusion. The aneurysmal neck was successfully clipped without encountering ischemic changes. This strategy may be useful for treating giant or thrombosed aneurysms in the region of the ACoA.

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