Download Technical nuances of clipping a middle cerebral artery bifurcation aneurysm
Technical nuances of clipping a middle cerebral artery bifurcation aneurysm
Technical nuances of clipping a middle cerebral artery bifurcation aneurysm
Piyush Kalakoti, M.D., Shyamal C. Bir, M.D., Ph.D., Richard D. Murray, M.D., Osama Ahmed, M.D., and Anil Nanda, M.D., MPH

Department of Neurosurgery, Louisiana State University, Shreveport, Louisiana...
Piyush Kalakoti, M.D., Shyamal C. Bir, M.D., Ph.D., Richard D. Murray, M.D., Osama Ahmed, M.D., and Anil Nanda, M.D., MPH

Department of Neurosurgery, Louisiana State University, Shreveport, Louisiana

Broad necked Middle Cerebral Artery aneurysms present unique challenges for the vascular neurosurgeon, which has to contend with smaller vessels and often a complex clipping strategy. Due to their superficial location, these lesions are still commonly selected for microsurgical clipping. We present a case of a 42 year old female with significant vascular disease with a right middle cerebral artery aneurysm. We discuss the key surgical steps, demonstrate the microsurgical dissection and intraoperative rupture encountered and the final clipping strategy as well as the post-operative course in an operative video presentation.
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