Tandem bypass: occipital artery to posterior inferior cerebellar artery side-to-side anastomosis and occipital artery to anterior inferior cerebellar artery end-to-side anastomosis--a case report.
A unique example of posterior fossa revascularization is presented. A tandem bypass was performed by anastomosing the midoccipital artery to the posterior inferior cerebellar artery in a side-to-side fashion followed by anastomosis of the distal occipital artery to the anterior inferior cerebellar artery in an end-to-side fashion. The operation was designed to revascularize two separate vascular territories that were isolated in a patient thought to have an extremely compromised posterior circulation. The patient is doing well and is asymptomatic 3 years postoperatively.
Ausman
J I
JI
Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan.
Pearce
J E
JE
Vacca
D F
DF
Diaz
F G
FG
Shrontz
C E
CE
Patel
S
S
D001933:Brain Stem / Q000098:blood supply*; D002539:Cerebral Arterial Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002544:Cerebral Infarction / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography