Long-Term Follow-Up for a Giant Basilar Trunk Aneurysm Surgically Treated by Proximal Occlusion and External Carotid Artery to Posterior Cerebral Artery Bypass Using a Saphenous Vein Graft

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• 作者：Toshiharu Yanagisawa ; MD ; PhD^* ; ^{toshi@med.akita-u.ac.jp" class="auth_mail" title="E-mail the corresponding author} ; Hiroyuki Kinouchi ; MD ; PhD^&dagger ; ; Toshio Sasajima ; MD ; PhD^* ; Hiroaki Shimizu ; MD ; PhD^*
• 关键词：Basilar trunk ; extracranial&ndash ; intracranial bypass ; giant aneurysm ; proximal basilar artery occlusion ; saphenous vein graft
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：25
• 期：11
• 页码：e212-e213
• 全文大小：547 K

文摘

The authors describe a case of a basilar trunk aneurysm with long-term follow-up after successful bypass and proximal occlusion. A 64-year-old woman had a giant aneurysm of the basilar trunk and underwent external carotid artery-to-posterior cerebral artery vein graft bypass surgery and proximal clipping of the basilar artery, which was followed by low-dose aspirin (100 mg/d) treatment. No ischemic symptoms and lesions developed and the thrombosed aneurysm was stable during 11 years of follow-up. An extracranial–intracranial high flow bypass combined with immediate proximal occlusion and aspirin administration may be an acceptable treatment option for patients with giant posterior circulation aneurysms.