Sorimachi Takatoshi, Fujii Yukihiko, Nashimoto Takeo, Morita Kenichi
Department of Neurosurgery, Nishiogi-chuo Hospital, Tokyo, Japan.
Neurol Med Chir (Tokyo). 2006 Jan;46(1):29-31. doi: 10.2176/nmc.46.29.
A 45-year-old woman presented with kissing aneurysms located at the junctions of the internal carotid artery and the duplicate anterior choroidal arteries manifesting as acute subarachnoid hemorrhage. The aneurysms were clipped during temporary occlusion of the internal carotid artery. Surgery for kissing aneurysms requires special consideration including analysis of the anatomical relationship before clipping, control of premature rupture during clipping, and preservation of the patency of the two anterior choroidal arteries after clipping.
一名45岁女性因位于颈内动脉与重复的脉络膜前动脉交界处的“亲吻性动脉瘤”出现急性蛛网膜下腔出血。在颈内动脉临时阻断期间对动脉瘤进行了夹闭。“亲吻性动脉瘤”的手术需要特殊考虑，包括夹闭前对解剖关系的分析、夹闭期间防止过早破裂以及夹闭后保留两条脉络膜前动脉的通畅性。
