Aneurysms of the Anterior Communicating Artery and Subclavian Artery in Association with Congenital Absence of Unilateral Internal Carotid Artery
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Accession number;06A0295614
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| Title;Aneurysms of the Anterior Communicating Artery and Subclavian Artery in Association with Congenital Absence of Unilateral Internal Carotid Artery |
| Author;
FUNYU HAYATO
(Yamagata Univ., JPN)
KONDO REI
(Yamagata Univ., JPN)
SAKURADA KAORI
(Yamagata Univ., JPN)
KOKUBO YASUAKI
(Yamagata Univ., JPN)
SATO SHIN'YA
(Yamagata Univ., JPN)
SAITO SHINJIRO
(Yamagata Univ., JPN)
ORITA HIROYUKI
(Yamagata Saisei Hospital, JPN)
HIROOKA SHIGEKI
(Yamagata Saisei Hospital, JPN)
KAYAMA TAKAMASA
(Yamagata Univ., JPN)
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Journal Title;Brain Nerve
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Journal Code:Z0685A
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ISSN:0006-8969
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VOL.58;NO.3;PAGE.257-261(2006)
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| Figure&Table&Reference;FIG.3, REF.18 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We encountered a rare case of unilateral internal carotid arterial defect complicated with anterior communicating aneurysm and subclavian artery aneurysm. The patient was a 56-year-old man in whom cerebral angiography and 3D-CTA revealed defects in the right internal carotid artery and the right carotid canal, and an unruptured aneurysm in the anterior communicating artery. In addition, the patient was also found to have an unruptured aneurysm in the right subclavian artery. As both the aneurysms were considered to have a high risk of rupture and such subclavian aneurysms were likely to cause an embolism, radical surgery was performed for each aneurysm. The postoperative course was uneventful, and the patient was discharged without ambulatory limitations. Although the defect in the internal carotid artery is a relatively rare vascular deformity, the incidence of cerebral aneurysm is about 30% in such cases due to the marked hemodynamic stress involved. On the other hand, there have been only two previous case reports of internal carotid arterial defect complicated with a subclavian aneurysm. Moreover, there have been no previous reports of internal carotid arterial defect complicated with both an intracranial aneurysm and a subclavian aneurysm, as observed in the present case. Thus, this case was very rare and is reported here. (author abst.) |
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