Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm. Case report.

Abstract

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.

• Authors: J B Bederson, R F Spetzler
• Journal: Journal of neurosurgery (J Neurosurg) Vol. 76 Issue 5 Pg. 863-6 (May 1992) ISSN: 0022-3085 [Print] United States
• PMID: 1564547 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Anastomosis, Surgical
• Cerebral Arteries (surgery)
• Female
• Humans
• Intracranial Aneurysm (surgery)
• Temporal Arteries (surgery)