title: Blood blister-like aneurysm with rupture point close to origin of anterior choroidal artery.
abstract: If a ruptured blood blister-like aneurysm (BBA) arises from the lateral or superolateral wall of the internal carotid artery (ICA) at the level of the anterior choroidal artery (AChA), its proximity to the origin of the AChA presents a serious surgical challenge to preserve the patency of the AChA. Two such rare cases are presented, along with successful surgical techniques, including the application of a C-shaped aneurysm clip parallel to the ICA and a microsuture technique to repair the arterial defect. The patency of the AChA and ICA was successfully preserved without recurrence or rebleeding of the BBA during a 1-year follow-up after the operation.
authors: Department of Neurosurgery, Research Center for Neurosurgical Robotic System, Kyungpook National University, Daegu, Korea.
authors: Jaechan
authors: J
authors: Park
keywords: Anterior choroidal artery; Blood blister-like aneurysm; Surgical technique
references: Neurosurgery. 1999 Sep;45(3):643-8; discussion 648-9
references: 10493387
references: Neurosurgery. 1997 Feb;40(2):403-5; discussion 405-6
references: 9007879
references: J Neurosurg. 2010 Oct;113(4):781-5
references: 19929189
references: Neurosurgery. 2014 Mar;10 Suppl 1:66-72; discussion 73
references: 23842547
references: Neurosurg Rev. 2011 Oct;34(4):409-16
references: 21584689
references: J Neurosurg. 2002 Sep;97(3):576-83
references: 12296641
references: World Neurosurg. 2012 Jan;77(1):166-71
references: 22405395
references: Neurosurgery. 2002 Jan;50(1):218-21
references: 11844255
references: World Neurosurg. 2013 Sep-Oct;80(3-4):436.e1-5
references: 23563099
references: J Neurosurg. 2006 Nov;105(5):785-7
references: 17121147
references: J Neurosurg. 2007 May;106(5):812-9
references: 17542524
references: AJNR Am J Neuroradiol. 2011 Aug;32(7):1232-6
references: 21546464
references: J Neurosurg. 1986 Sep;65(3):303-8
references: 3734880
references: Neurosurgery. 2001 Aug;49(2):469-72
references: 11504127
references: J Neurosurg. 2008 Apr;108(4):662-71
references: 18377243
references: Surg Neurol. 2006 Oct;66(4):424-8; discussion 428-9
references: 17015131
references: Acta Neurochir (Wien). 2010 Sep;152(9):1519-25
references: 20623360
references: World Neurosurg. 2010 Oct-Nov;74(4-5):483-93
references: 21492599
references: World Neurosurg. 2012 Jan;77(1):76-7
references: 22405389
references: Neurosurg Rev. 2010 Apr;33(2):205-16
references: 20521339
references: Surg Neurol. 2009 May;71(5):543-50; discussion 550
references: 19328531
references: J Neurosurg. 1998 Sep;89(3):419-24
references: 9724116
references: J Neurosurg. 2006 Sep;105(3):400-5
references: 16961134
references: J Neurosurg Anesthesiol. 2010 Jul;22(3):247-51
references: 20548170
references: Neurosurg Focus. 2008;24(2):E13
references: 18275289
references: Neurosurgery. 2013 Sep;73(3):480-8
references: 23728453
references: Neurosurgery. 2006 Jul;59(1 Suppl 1):ONSE168; discussion ONSE168
references: 16894653
references: Neurosurgery. 2000 Sep;47(3):578-83; discussion 583-6
references: 10981744
references: Yonsei Med J. 2014 Mar;55(2):401-9
references: 24532510
references: J Cerebrovasc Endovasc Neurosurg. 2012 Jun;14(2):99-103
references: 23210036