J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803999
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Rescue M2–A2 Bypass for a Large Complex Recurrent Anterior Communicating Artery Aneurysm

Sean Himel
1   Southmead Hospital North Bristol Trust, Bristol, United Kingdom
,
Jahangir Sajjad
1   Southmead Hospital North Bristol Trust, Bristol, United Kingdom
,
Cristina Cernei
1   Southmead Hospital North Bristol Trust, Bristol, United Kingdom
,
Richard Edwards
1   Southmead Hospital North Bristol Trust, Bristol, United Kingdom
,
Richard Nelson
1   Southmead Hospital North Bristol Trust, Bristol, United Kingdom
,
Mario Teo
1   Southmead Hospital North Bristol Trust, Bristol, United Kingdom
› Author Affiliations
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Some complex aneurysms, despite multiple previous endovascular and bypass strategies, require further rescue bypass due to repeat hemorrhage and aneurysm recurrence. We present the case of a 17-year-old male with two aneurysmal subarachnoid hemorrhages from a large complex anterior communicating artery aneurysm. Despite multiple endovascular treatments and a previous A3–A3 bypass, his aneurysm recurred ultimately requiring an A2–M2 high-flow bypass using a radial artery graft with complete aneurysmal occlusion.



Publication History

Article published online:
07 February 2025

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