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자료유형
학술저널
저자정보
Federico Carlos Gallardo (Department of Neurosurgery Hospital de Alta Complejidad en Red El Cruce Florencio VarelaArgentina) Juan Santiago Bottan (Department of Neurosurgery Hospital General de Niños Pedro de Elizalde Buenos Aires Argentina) Clara Martin (Department of Neurosurgery Hospital de Alta Complejidad en Red El Cruce Florencio VarelaArgentina) Aylen Andrea Targa Carcia (Department of Neurosurgery Hospital de Alta Complejidad en Red El Cruce Florencio VarelaArgentina) Roman Pablo Arevalo (Department of Neurosurgery Hospital de Alta Complejidad en Red El Cruce Florencio VarelaArgentina) Pablo Augusto Rubino (Department of Neurosurgery Hospital de Alta Complejidad en Red El Cruce Florencio VarelaArgentina)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.23 No.4
발행연도
2021.12
수록면
343 - 347 (5page)
DOI
10.7461/jcen.2021.E2021.05.004

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Inadvertent flow alterations in the parent artery during microsurgical clipping might produce postoperative ischemic complications. Intraoperative recognition of such alterations and its correction might improve operative outcomes in these patients. We present the case of a thirty-five-year-old male with an incidental small left anterior choroidal aneurysm. Microsurgical clipping induced an external compression of the anterior choroidal artery against the posterior clinoidal process which was identified in situ through surgical exploration and the loss of arterial doppler signal in the vessel. After failed attempts at clip repositioning, a posterior clinoidectomy was performed to decompress the artery. This resulted in arterial flow recovery. The aneurysm was successfully treated, and a severe ischemic complication was likely avoided. This intraoperative phenomenon has not yet been described in the literature.

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