• J Clin Neurosci · Aug 2009

    Case Reports

    Acute thrombosis and recanalization of a ruptured anterior communicating artery aneurysm.

    • Thung-Ming Su, Shih-Wei Hsu, Wu-Fu Chen, Tao-Chen Lee, and Ching-Hsiao Cheng.
    • Department of Neurosurgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Taiwan.
    • J Clin Neurosci. 2009 Aug 1; 16 (8): 1077-9.

    AbstractA 35-year-old man sustained a subarachnoid hemorrhage due to the rupture of an anterior communicating artery aneurysm. A second angiogram taken 8 hours later demonstrated that the ruptured aneurysm had thrombosed spontaneously with a small residual aneurysm stump at the neck. CT scans and conventional angiograms taken 2 days later demonstrated recanalization of the aneurysm, which was successfully treated by endovascular coiling. This case differs from previous reports of spontaneously thrombosed ruptured aneurysms because the aneurysm recanalized within 2 days. Thus a thrombosed ruptured aneurysm has the potential for recanalization, and should be considered at risk of further hemorrhage.

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