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ID 737
本文ファイル
著者
Ikawa, Fusao
Kawamoto, Hitoshi
Ohbayashi, Naohiko
Inagawa, Tetsuji
キーワード
Middle cerebral artery
Ruptured dissecting aneurysm
Subarachnoid hemorrhage
Subsequent rupture
Treatment
NDC
医学
抄録(英)
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.
掲載誌名
Hiroshima Journal of Medical Sciences
52巻
1号
開始ページ
15
終了ページ
19
出版年月日
2003-03
出版者
Hiroshima University Medical Press
寄与者
国立情報学研究所
作成年月日
2006-03-21
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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