Subsequent Rupture after Clip on Wrap Method for Ruptured Dissecting Aneurysm of the Distal Middle Cerebral Artery : A case report and review of the literature

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タイトル ( eng )
Subsequent Rupture after Clip on Wrap Method for Ruptured Dissecting Aneurysm of the Distal Middle Cerebral Artery : A case report and review of the literature
作成者
Ikawa Fusao
Kawamoto Hitoshi
Ohbayashi Naohiko
Inagawa Tetsuji
寄与者 国立情報学研究所
収録物名
Hiroshima Journal of Medical Sciences
52
1
開始ページ 15
終了ページ 19
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
Dissecting aneurysms rarely occur in the middle cerebral artery (MCA). Furthermore, recurrent subarachnoid hemorrhage from ruptured dissecting aneurysms is rare with no published report of subsequent rupture after treatment by the clip on wrap method. The case reported is a 41-year-old man with subarachnoid hemorrhage. Angiography demonstrated aneurysm at the right M2 portion. We performed surgery to prevent rebleeding during the acute stage. Surgery revealed a discolored protrusion of the arterial wall of the lesion. The lesion was clipped on wrapping with Bemsheet. At one month postoperatively, angiography showed neither aneurysmal formation nor stenosis at the right M2, but after 5 months a subsequent rupture occurred. Angiography demonstrated pseudoaneurysm formation at the same portion of the right M2. The lesion was trapped with anastomosis of the superficial temporal artery (STA) to the MCA. He was discharged following a good recovery. The rate of subsequent rupture in ruptured dissecting aneurysm in the MCA is 14.3 0n published papers. Acute surgery must be performed to prevent the risk of re-rupture. In our single case report, trapping was effective treatment.
著者キーワード
Middle cerebral artery
Ruptured dissecting aneurysm
Subarachnoid hemorrhage
Subsequent rupture
Treatment
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
発行日 2003-03
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
日付
[作成日] 2006-03-21
収録物識別子
[ISSN] 0018-2052
[NCID] AA00664312