Natural Y-shaped radial artery graft bypass for a complex middle cerebral artery aneurysm: A case report.
Aged
Bioprosthesis
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ instrumentation
Cerebral Revascularization
/ instrumentation
Humans
Intracranial Aneurysm
/ diagnostic imaging
Intracranial Thrombosis
/ diagnostic imaging
Male
Middle Cerebral Artery
/ diagnostic imaging
Radial Artery
/ diagnostic imaging
Treatment Outcome
Cerebral aneurysm
High-flow bypass
Thrombosed aneurysm
Y-shaped graft
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
09
01
2020
revised:
25
03
2020
accepted:
29
03
2020
pubmed:
12
5
2020
medline:
21
10
2020
entrez:
12
5
2020
Statut:
ppublish
Résumé
Giant thrombosed middle cerebral artery (MCA) aneurysms are difficult to treat and sometimes require complex revascularization using allografts. We describe a technical method using revascularization with a natural Y-shaped graft that provides a normal variation for a complex MCA aneurysm. A 65-year-old man with a giant thrombosed MCA aneurysm presented with right hemiparesis and aphasia. The patient had a history of clipping surgery for the ipsilateral side of the MCA aneurysm 25 years before, and a de novo aneurysm developed over the previous 18 years. For the giant thrombosed aneurysm, trapping and revascularization were performed. A natural radial artery Y-graft was used as the graft and anastomosed to both M2 trunks. The symptoms improved after surgery, and the patient was discharged 3 weeks later. This is the first report of a double-barrel bypass using a natural Y-graft. This method attained a normal variation, and the flow of the Y-graft was physiological. For the radical cure of giant thrombosed MCA aneurysms, multiple revascularizations might be required. With this natural Y-graft, complex transpositions could be avoided.
Identifiants
pubmed: 32389556
pii: S1052-3057(20)30244-5
doi: 10.1016/j.jstrokecerebrovasdis.2020.104853
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
104853Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.