title: Giant aneurysm treated by bilateral cervical carotid artery to proximal middle cerebral artery bypass and balloon embolisation: a case report.
abstract: The authors describe a case of a 59 year-old Chinese lady with a history of spontaneous left caroticocavernous fistula in 1988 treated by left internal carotid artery clipping and muscle embolisation. She subsequently presented with a subarachnoid haemorrhage in November 1997 secondary to rupture of an unclippable giant right internal carotid artery aneurysm. This was treated satisfactorily with bilateral cervical carotid artery to proximal middle cerebral artery bypass followed by balloon occlusion. Postoperatively, the patient has no neurological deficit and CT angiogram shows good patency of both grafts 6 months after surgery.
authors.affiliation: Division of Neurosurgery, Department of Surgery, National University Hospital, Singapore.
authors.forename: W H
authors.initials: WH
authors.lastname: Ng
authors.forename: N
authors.initials: N
authors.lastname: Chou
authors.forename: T
authors.initials: T
authors.lastname: Lee
mesh_terms: D021721:Balloon Occlusion; D002339:Carotid Arteries; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D020768:Middle Cerebral Artery