title: Left temporal craniotomy for clipping of fusiform aneurysm of posterior cerebral artery.
abstract: Aneurysms of the posterior cerebral artery (PCA) are a distinct pathological entity and are surgically challenging. Fusiform aneurysms involving the PCA are quite rare and scarcely reported in the literature. In this video, we demonstrate the utility of the subtemporal approach to surgically reconstruct an unruptured, fusiform aneurysm of the left PCA, located at the junction of P3 and P4 segments. Curved clips were used to reconstruct the aneurysm such that flow was maintained in the parent vessel as well as distal branches. Postoperatively, the patient remained neurologically intact. The video can be found here: http://youtu.be/l7yzUPsaMc4.
authors.affiliation: Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan.
authors.forename: Ghaus M
authors.initials: GM
authors.lastname: Malik
authors.affiliation: Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan.
authors.forename: Aqueel H
authors.initials: AH
authors.lastname: Pabaney
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D003399:Craniotomy / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008866:Microsurgery / Q000379:methods; D020769:Posterior Cerebral Artery / Q000601:surgery*; D013525:Surgical Instruments
keywords: fusiform aneurysm; posterior cerebral artery; reconstruction; temporal craniotomy; video