Korean J Cerebrovasc Surg.  2003 Sep;5(2):111-116.

Strategy and Pitfalls of Aneurysm Surgery of the Anterior Cerebral Artery

Affiliations
  • 1Department of Neurosurgery, School of Medicine, Wonkwang University, Iksan, Korea.
  • 2Institute of Wonkwang Medical Science, Wonkwang University, Iksan, Korea.

Abstract

Patients with anterior cerebral artery aneurysm (ACA) make up one third of all those presenting with subarachnoid hemorrhage. Aneurysms in this location may be subclassified according to their projection in relationship to the proximal ACA, distal ACA, and anterior communicating artery. These lesions exhibit a great variation in morphology, size, projection, and relationship with efferent and afferent vasculature. This focus eliminates unnecessary operative manipulation and prepares the surgeon for any crisis that might arise. With this concept in mind, the author has tried to convey my insights into the operative techniques for successful clipping of ACA aneurysm.

Keyword

Aneurysm; Surgery; Anterior cerebral artery

MeSH Terms

Aneurysm*
Anterior Cerebral Artery*
Arteries
Humans
Intracranial Aneurysm
Subarachnoid Hemorrhage
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