De novo ruptured aneurysm at the site of anastomosis after superficial temporal artery–middle cerebral artery anastomosis—Case report and literature review

Kawahara, Ichiro; Morofuji, Yoichi; Tsutsumi, Keisuke; Takahata, Hideaki; Ono, Tomonori; Toda, Keisuke; Baba, Hiroshi; Yonekura, Masahiro

doi:10.1016/j.clineuro.2012.05.044

Cited by 9 publications

(9 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We were able to classify aneurysms related to bypass procedures into 2 categories: (1) early-formed aneurysms, which generally are pseudoaneurysms and are related to technical failure in surgery 5-8,12,14,17,21,22 ; (2) late-formed aneurysms, which are related to hemodynamic stress factors on the bypass site. 5,6,[9][10][11]13,15,16,18,19,23 Early-formed aneurysms are generally pseudoaneurysms. They are caused by faulty surgical techniques, as example number of sutures applied is important factor as reported by Robertson and Robertson.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10][11][12][13][14][15][16][17][18][19] Most of the cases found in the literature occur after STA-MCA bypass for cerebro-occlusive disease. This represents the second case we have found wherein there is an aneurysm complicating the bypass site following ICA occlusion for management of ICA aneurysms.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative aneurysm formation at the anastomosis site or in its close proximity is a relatively rare complication. 6 Only 16 cases have been previously reported, all of them followed bypass procedures for cerebro-occlusive diseases, such as stroke and moyamoya disease (Table 1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] …”

mentioning

confidence: 97%

See 2 more Smart Citations

De Novo Giant Partially Thrombosed Aneurysm Complicating STA-MCA Bypass Site in 3 Years

Rashad

Hassan

Shimizu

et al. 2015

Neurosurgery Quarterly

View full text Add to dashboard Cite

Background and Importance: Aneurysm formation after superficial temporal artery (STA)-middle cerebral artery (MCA) bypass is a rare condition with only a handful of cases reported in the literature with various presentations and management strategies. Various theories have been postulated to explain such rare complication and to determine whether it is a de novo pathology or related to operative techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

De Novo Giant Partially Thrombosed Aneurysm Complicating STA-MCA Bypass Site in 3 Years

Rashad

Hassan

Shimizu

et al. 2015

Neurosurgery Quarterly

View full text Add to dashboard Cite

show abstract

“…The patient was severely disabled after ventriculoperitoneal shunting for hydrocephalus. Similarly, Kawahara et al 54 reported a case of intracerebral hemorrhage caused by a ruptured aneurysm at the site of anastomosis two years after STA-MCA anastomosis for the treatment of MMD. The aneurysm was clipped via craniotomy with preservation of the anastomosis, and the patient had a satisfactory outcome.…”

Section: Aneurysms Associated With MMD At the Site Of Anastomosismentioning

confidence: 90%

Treatment Strategies for Aneurysms Associated with Moyamoya Disease

Zhang¹,

Xu²,

Zhang³

et al. 2015

Int. J. Med. Sci.

View full text Add to dashboard Cite

The treatment of aneurysms associated with moyamoya disease (MMD) is difficult for neurosurgeons, and little is known of strategy options. This report constitutes a comprehensive review of the literature. We summarize the known treatments and their clinical outcomes according to the site of the aneurysm: in major arteries, peripheral arteries, moyamoya vessels, meningeal arteries, or at the site of anastomosis. The literature review indicates that the treatment of MMD-associated aneurysms varies according to the site of the aneurysm and its hemodynamic characteristics. In particular, the treatment for basilar tip aneurysms remains challenging, since both endovascular embolization and direct clipping are difficult. The potential risk for ischemia should be considered in selecting endovascular or surgical approaches. Revascularization surgery, which is important for the treatment of MMD, also determines the clinical treatment outcome of aneurysms associated with MMD.

show abstract

“…[ 1 2 8 ] De novo aneurysm formation after intracranial anastomotic surgery is relatively rare but life-threatening, with fewer than 20 reported cases [ Table 1 ]. [ 1 3 4 7 9 10 11 12 13 20 21 22 23 25 ] The mechanism of de novo aneurysm formation after anastomotic surgery may involve mechanical arterial wall injuries caused by intraoperative manipulations,[ 13 ] disproportion between donor and recipient vessels,[ 12 ] and insufficiency of sutures. [ 24 ] In contrast, some cases with long intervals of more than 20 years from anastomotic surgery to aneurysm formation may involve hemodynamic stress due to the increased hemodynamic force from the donor artery.…”

Section: Introductionmentioning

confidence: 99%

Repeated de novo aneurysm formation after anastomotic surgery: Potential risk of genetic variant RNF213 c.14576G>A

Fukushima

Miyawaki

Inoue³

et al. 2015

Surg Neurol Int

View full text Add to dashboard Cite

Background:De novo aneurysm formation after intracranial anastomotic surgery is a relatively rare complication with fewer than 20 reported cases, and the mechanism is still unclear.Case Description:A 63-year-old male treated for symptomatic internal carotid artery occlusion developed de novo aneurysms twice after anastomoses first of the superficial temporal artery-middle cerebral artery and second of the external carotid artery-radial artery-middle cerebral artery over a 10-year period. The first de novo aneurysm was successfully resected with pathological diagnosis of true aneurysm. The second de novo aneurysm thrombosed naturally after gradual growth. Genetic testing of the patient revealed the c.14576G>A (p.R4859K) variant in ring finger protein 213, which is a susceptibility gene for moyamoya disease.Conclusions:This genetic variant was probably involved in the repeated de novo aneurysm formation, and this case represents a rare phenotype of the genetic variant.

show abstract

De novo ruptured aneurysm at the site of anastomosis after superficial temporal artery–middle cerebral artery anastomosis—Case report and literature review

Cited by 9 publications

References 11 publications

De Novo Giant Partially Thrombosed Aneurysm Complicating STA-MCA Bypass Site in 3 Years

De Novo Giant Partially Thrombosed Aneurysm Complicating STA-MCA Bypass Site in 3 Years

Treatment Strategies for Aneurysms Associated with Moyamoya Disease

Repeated de novo aneurysm formation after anastomotic surgery: Potential risk of genetic variant RNF213 c.14576G>A

Contact Info

Product

Resources

About