Rescue M2–A2 Bypass for a Large Complex Recurrent Anterior Communicating Artery Aneurysm

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.

 

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No conflict of interest has been declared by the author(s).

Publication History

Article published online:
07 February 2025