| CASE REPORT |
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| Year : 2012 | Volume
: 4
| Issue : 1 | Page : 53-57 |
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Direct, high-flow bypass for a pediatric giant, fusiform aneurysm of the inferior division of m2: Case report and review of literature
Vignesh K Alamanda, Luke Tomycz, Dennis Velez, Robert J Singer
Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
Correspondence Address:
Robert J Singer
Department of Neurological Surgery, Vanderbilt University Medical Center, T 4224 Medical Center North, Nashville, Tennessee 37232 2380
USA
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2006-8808.100357
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In this case report, we describe the first reported case of treating a 7-year-old male patient who has a giant, fusiform aneurysm confined to the inferior M2 segment by means of a saphenous vein graft. Given the lack of good endovascular management options for this particular scenario, craniotomy was recommended and an end-to-side ECA-ICA anastomosis was carried out with technical details of the surgery outlined in the manuscript. The patient did not sustain any major postoperative complications. The graft remained patent upon completion of the surgery and at the time of last follow-up, 9 months post-surgery. This case serves as an illustrative example of the need for high-flow bypass for a select few patients even as endovascular technology continues to improve. |
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