LETTER TO THE EDITOR
Giant saccular aneurysm of the distal A2 segment of the azygos anterior cerebral artery. Difficulties in surgery
1
Department of Neurology, Neurological Rehabilitation and Kinesitherapy, Collegium Medicum, University Jan Kochanowski, Kielce, Poland
Submission date: 2019-03-25
Final revision date: 2019-08-08
Acceptance date: 2019-08-10
Publication date: 2019-12-30
Medical Studies 2019;35(4):327-330
TOPICS
ABSTRACT
Azygos artery (a. azygos) in anterior cerebral artery A2 segment is a rare anatomic anomaly, as well as giant saccular aneurysm in the A2 segment of a. azygos trunk. Giant aneurysm of the azygos A2 segment artery is incidental and thus far literature reported only a small number of cases, treated surgically after the subarachnoid hemorrhage.
The literature also provides description of coexistence of an azygos artery with corpus callosum hypoplasia, porencephalia or vascular malformation. Angiography may suggest anomaly. Final verification is possible during the surgical preparation and exposure of the vessels in longitudinal fissure of the brain.The azygos A2 trunk is the special situation where the large brain region is vascularized by simple trunk of artery and this vessel has a specific anatomic characteristic. The problem of potential consequences of postoperative ischemia after temporary clipping becomes more prominent during aneurysm surgery.
REFERENCES (16)
1.
Andrychowski J. Embolitic material (coils) dislocation inside a giant and cerebral aneurysm and morphological aneurysm changes after coiling. Case report. Neurol Neurochir Pol 2001; 35: 1149-1160.
2.
Baptista AG. Studies on the arteries of the brain I. The anterior cerebral artery. Some anatomic features and their clinical implications. Neurology 1963; 13: 825-835.
3.
Baykal S, Ceylan S, Dinc H, Soylev E, Usul H, Akturk F. Aneurysm of an azygos anterior cerebral artery: report of two cases and review of the literature. Neurosurgic Rev 1996; 19: 57-59.
4.
Baldawa S, Katikar D, Marda S. Giant saccular distal azygos artery aneurysm: report of a case and review of literature. Asian J Neurosurg 2016; 11: 175.
5.
Cinnamon J, Zito J, Chalif DJ, Gorey MT, Black KS, Scuderi DM, Hyman RA. Aneurysm of the azygos pericallosal artery: diagnosis by MR imaging and MR angiography. Am J Neuroradiol 1992; 13: 280-282.
6.
Hashizume K, Nukui H, Horikoshi T, Kaneko M, Fukamachi A. Giant aneurysm of the azygos anterior cerebral artery associated with acute subdural hematoma – case report. Neurol Med Chir 1992; 32: 693-697.
7.
Hayashi M, Kobayashi H, Kawano H, Handa Y, Kabuto M. Giant aneurysm of an azygos anterior cerebral artery: report of two cases and review of the literature. Neurosurgery 1985; 17: 341-344.
8.
Kanemoto Y, Tanaka Y, Nonaka M, Hironaka Y. Giant aneurysm of the azygos anterior cerebral artery – case report. Neurol Med Chir 2000; 40: 472-475.
9.
Kashiwazaki D, Kuroda S, Horiuchi N, Takahashi A, Asano T, Ishikawa T, Iwasaki Y. Ruptured aneurysm of bihemispheric anterior cerebral artery bifurcation: case report. No Shinkei Geka 2005; 33: 383-387.
10.
Mishima K, Watanabe T, Sasaki T, Saito I, Takakura K. An infected partially trombosed giant aneurysm of the azygos anterior cerebral artery. No Shinkei Geka 1990; 18: 475-481.
11.
Topsakal C, Ozveren MF, Erol FS, Cihangiroglu M. Giant aneurysm of the azygos pericallosal artery: case report and review of the literature. Surg Neurol 2003; 60: 524-533.
12.
Graziano F, Iacopino DG, Ulm AJ. Insights on a giant aneurysm treated endovascularly. J Neurol Surg A Cent Eur Neurosurg 2016; 77: 367-371.
13.
Wang B, Gao BL, Xu GP, Xiang C, Liu XS. Endovascular embolization is applicable for large and giant intracranial aneurysms: experience in one center with long-term angiographic follow-up. Acta Radiol 2015; 56: 105-113.
14.
Ghanta RK, Kesanakurthy MV, Vemuri VN. Aneurysm of azygos anterior cerebral artery: a report of two cases. Asian J Neurosurg 2016; 11: 312.
15.
Seferi A, Alimehmeti R, Rroji A, Petrela M. Saccular trilobedaneurysm of azygos anterior cerebral artery. World J Clin Cases 2015; 3: 377-380.
16.
Sarikaya B, Oksuz E, Deniz FE, Firat MM. Endovascular treatment of a ruptured aneurysm at a very rare location. Distal azygos anterior cerebral artery. Interv Neuroradiol 2008; 14: 457-460.
| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
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