Bederson J B, Spetzler R F
Division of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona.
J Neurosurg. 1992 May;76(5):863-6. doi: 10.3171/jns.1992.76.5.0863.
The clinical course, operative technique, and angiographic outcome are reported for a patient with a giant intracranial aneurysm of the proximal middle cerebral artery (MCA) who presented with symptoms of ischemia. Treatment of the aneurysm required bypassing the involved MCA bifurcation, but the patient lacked a suitable donor superficial temporal artery. The involved arterial segment was therefore bypassed with a side-to-side anastomosis of the anterior temporal artery to one of the secondary trunks of the MCA. This bypass eliminated the need to harvest a vein graft and re-established flow using in situ intracranial vessels of similar diameter, minimal arterial dissection, and only one suture line.
报告了一名大脑中动脉（MCA）近端巨大颅内动脉瘤且伴有缺血症状患者的临床病程、手术技术及血管造影结果。该动脉瘤的治疗需要绕过受累的MCA分叉处，但患者缺乏合适的颞浅动脉供体。因此，采用颞前动脉与MCA的一支二级分支进行侧侧吻合来绕过受累动脉段。这种搭桥术无需采集静脉移植物，利用直径相似的颅内原位血管重新建立血流，动脉分离操作最少，且只有一条缝合线。
