Musara Aaron, Yamada Yasuhiro, Takizawa Katsumi, Haraguchi Kenichi, Kawase Tsukasa, Tanaka Riki, Miyatani Kyosuke, Teranishi Takao, Mohan Krishna, Kato Yoko
Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe.
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake, Japan.
Asian J Neurosurg. 2019 Jul-Sep;14(3):1004-1007. doi: 10.4103/ajns.AJNS_113_19.
The recurrence of aneurysms postcoil embolization is a common occurrence. Endovascular coiling has been noted to be more effective for small lesions rather than the giant aneurysms. A postembolization recurrent aneurysm is a difficult condition to manage. We present a case of a recurrent giant aneurysm of the anterior cerebral arteries (ACAs) first segment (A1). It was managed by superficial temporal artery to A3 segment of anterior cerebral artery bypass anastomotic revascularization plus distal A1- segment clipping. A literature review is presented for the management of giant A1 artery aneurysms.
动脉瘤弹簧圈栓塞术后复发很常见。血管内栓塞已被证实对小病变比对巨大动脉瘤更有效。栓塞后复发性动脉瘤是一种难以处理的情况。我们报告一例大脑前动脉（ACA）第一段（A1）复发性巨大动脉瘤的病例。通过颞浅动脉至大脑前动脉A3段搭桥吻合血管重建术加A1段远端夹闭进行治疗。本文还对巨大A1段动脉瘤的治疗进行了文献综述。
