Kissing Mirror Image Anterior Communicating Artery Aneurysms. Case Report.

Abstract

A 45-year-old male presented with an extremely rare case of symmetrical kissing aneurysms located at the both ends of the anterior communicating artery. Angiography and three-dimensional computed tomography (3D-CT) angiography clearly showed the relationship of the kissing aneurysms. The aneurysms were clipped through the right pterional approach. Temporary clipping of the anterior cerebral arteries for 5 minutes was required to gain enough operative space. The patient was discharged without neurological deficits. 3D-CT angiography, magnetic resonance angiography, or rotatory digital subtraction angiography may be useful for detecting kissing aneurysms, but the most important issue is awareness of this unusual condition.

Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

“…Subsequently, puncture examination was performed to check whether aneurysms were completely clipped. An attempt was made not to dissect the adhesion walls between aneurysms prior to clipping to prevent rupture and hemorrhage (19,20). The advantage of this method is that once aneurysm rupture and hemorrhage occur in the course of exploration for aneurysms, they may be instantly and temporarily blocked.…”

Bilateral Ophthalmic Segment "Kissing" Aneurysms Presenting With Subarachnoid Hemorrhage. Case Report.

“…Eight studies have described kissing aneurysms. 1,[5][6][7][8][11][12][13] The ipsilateral internal carotid artery is the most common origin of kissing aneurysms. The detailed clinical features of kissing aneurysms have recently been reviewed elsewhere.…”

“…The detailed clinical features of kissing aneurysms have recently been reviewed elsewhere. 11) A review of large series of ophthalmic segment aneurysms revealed several characteristics. 2,3,13) These aneurysms occur predominantly in women, and are frequently associated with aneurysms at other sites, including symmetrical carotidophthalmic artery aneurysms.…”

Endovascular Treatment of "Kissing Aneurysms" at the Anterior Communicating Artery

“…Kissing aneurysms can be defined as two anatomically adjacent aneurysms of different origin arteries, with the walls partially, pressed together 1,2,6,8,9,11) . In the circle of Willis, these aneurysms are quite rare and 0.2% incidence was reported by Yasargil 12) .…”