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KMID : 0359819940230050589
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 5 p.589 ~ p.593
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External Carotid Artery to Middle Cerebral Artery Bypass with Saphenous Vein Graft for a Giant Internal Carotid Artery Aneurysm at the Cavernous Portion
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Abstract
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The authors report a case of giant internal carotid artery aneurysm at the cavernous portion which was treated by trapping of internal carotid artery (ICA) after external carotid artery (ECA) to middle cerebral artery (MCA) bypass by long
saphenous
vein
graft. It was impossible to clip the aneurysm because of its position and size. The patient suffered from progressive extraocular movement disturbance and decreased visual acuity. She was intolerant to balloon occlusion test. The size of the
aneurysm
was 3.5×2.5×2cm. ECA to MCA bypass was done with saphenous vein graft successfully. However, computerized tomography shows hemorrhagic infarction at left temporal lobe postoperatively. Two days later, left temporal lobectomy was done because of
uncontrollable increased intracranial pressure Internal carotid artery was trapped with proximal ligation and distal clipping at the supraclinoid segment.
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KEYWORD
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