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CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 1004-1007

Microvascular revascularization for recurrent A1 anterior cerebral artery aneurysm postendovascular treatment: A case report and review of the literature


1 Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe
2 Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake, Japan
3 Department of Neurosurgery, Asahikawa Red Cross Hospital, Hokkaido, Japan
4 Department of Neurosurgery, KIMS Hospital, Nellore, Andhra Pradesh, India

Correspondence Address:
Aaron Musara
Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare
Zimbabwe
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_113_19

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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.


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