Background

Treating complex middle cerebral artery (MCA) trifurcation aneurysms requires a delicate balance between achieving aneurysm obliteration and preserving vascular integrity. Various cerebral revascularization techniques, including bypass, and clip reconstruction are considered individually or in combination.

Methods

This case report outlines a successful repair of a ruptured neck and base of MCA trifurcation aneurysm using a suturing-clip reconstruction technique. Temporary aneurysm trapping was implemented, with maintained elevated blood pressure to ensure collateral perfusion during repair of ruptured base and neck of MCA aneurysm.

Conclusion

The suturing-clip reconstruction exhibited long-term radiological stability, emerging as a valuable alternative for managing challenging MCA trifurcation aneurysms.

中文翻译：

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大脑中动脉三叉部破裂动脉瘤基底部撕裂的手术修复

背景

治疗复杂的大脑中动脉（MCA）三叉动脉瘤需要在动脉瘤闭塞和保持血管完整性之间取得微妙的平衡。各种脑血管重建技术，包括搭桥术和夹子重建术，可以单独或组合考虑。

方法

本病例报告概述了使用缝合夹重建技术成功修复 MCA 三叉动脉瘤颈和基底破裂的情况。在修复破裂的 MCA 动脉瘤基底部和颈时，实施临时动脉瘤捕获，并保持血压升高，以确保侧支灌注。

结论

缝合夹重建表现出长期的放射学稳定性，成为治疗具有挑战性的 MCA 三叉动脉瘤的有价值的替代方案。