[Management of ruptured aneurysm of anterior communicating artery by emergency operation].
OBJECTIVE
To investigate the effectiveness of emergency operation on ruptured anterior communicating artery.


METHODS
Twenty-one cases of ruptured anterior communicating aneurysms, 9 of grade III, 10 of grade IV and 2 grade V according to Hunt-Hess classification, were treated by emergency clipping.


RESULTS
By the time of being discharged from hospital, 16 patients were perfectly recovered, 2 suffered from moderated disability, 1 suffered from severe disability and 2 were dead. No patients of grade III before operation died.


CONCLUSIONS
Emergency clipping of ruptured aneurysm of anterior communicating artery prevents death and deterioration of condition caused by aneurysmal re-rupture and relieves the secondary cerebral vasospasm, thus decreasing the mortality and improving the prognosis.
Li
Yingbin
Y
Department of Neurosurgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China.
Luo
Liangsheng
L
Zhang
Dunzi
D
Lin
Zhong
Z
D000328:Adult; D000368:Aged; D017542:Aneurysm, Ruptured / Q000601:surgery*; D019468:Disease Management; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000601:surgery*; D016896:Treatment Outcome