Journal of neurosurgery · 1996 · 28 citations · 4 references
MedicineNeurosurgerySurgeryCerebrovascular NeurosurgeryCerebrovascular SurgeryVascular SurgeryAneurysm ClippingAneurysm RepairCerebral Bypass SurgeryIntracerebral HemorrhageSubarachnoid HemorrhageVascular AnastomosisAneurysm Bypass SurgeryBypass-assisted Aneurysm SurgeryCerebral Aneurysm RuptureCerebrovascular Bypass SurgeryHemodynamic PathophysiologyIntracranial Arterial BypassMiddle Cerebral Artery Aneurysm SurgeryRuptured Aneurysm Management
Four years after undergoing a superficial temporal artery-middle cerebral artery bypass procedure, this patient presented with a ruptured aneurysm at the anastomosis site. The ruptured aneurysm caused subarachnoid and intracerebral hemorrhages and was treated by surgically clipping its neck. Characteristics of the aneurysm included: 1) a relatively large size (8 x 6 x 6 mm): 2) a thickened wall; 3) a location apart from the suture line; 4) a projection in a direction consistent with hemodynamic stress; and 5) a time interval from bypass surgery to rupture that lasted 4 years. These features, along with the well-known fact that hemodynamic stress can cause aneurysms, led the authors to believe that this aneurysm was a true one. The authors present a case of this unusual complication following bypass surgery and provide a brief review of the literature.
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