J Korean Neurosurg Soc.
2009 Jul;46(1):68-70. 10.3340/jkns.2009.46.1.68.
In Situ Rescue Bypass for Iatrogenic Avulsion of Parent Artery during Clipping Large Pericallosal Artery Aneurysm
- Affiliations
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- 1Department of Neurosurgery, Science and Engineering Institute, Kyungpook National University College of Medicine, Daegu, Korea. jparkmd@hotmail.com
- KMID: 2189892
- DOI: http://doi.org/10.3340/jkns.2009.46.1.68
Abstract
- A case of large aneurysm arising from the distal end of an azygous A2 segment is presented. Multiple clip application inadvertently tore the aneurysmal neck, resulting in near avulsion of a right pericallosal artery origin. After an unsuccessful attempt to repair the avulsion, it was treated by occlusion of the origin of the pericallosal artery and an A4-A4 anterior cerebral artery in situ bypass without neurological deficits. The surgical technique and previous reports on side-to-side in situ bypass are discussed.
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