Regrowth of Posterior Communicating Artery Aneurysm after 13 Years of the First Clipping: A Case Report.
- Author:
Hyeong Joong YI
1
;
Kwang Myung KIM
;
Yong KO
;
Suck Jun OH
Author Information
1. Department of Neurosurgery, Hanyang University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Clipping;
Aneurysm;
Regrowth;
Posterior communicating artery;
Postoperative angiography
- MeSH:
Aneurysm;
Angiography;
Intracranial Aneurysm*;
Neck;
Recurrence
- From:Korean Journal of Cerebrovascular Disease
2002;4(2):151-154
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Microsurgical neck clipping has been believed to be the most reliable treatment for the intracranial aneurysm. However, recurrence or regrowth from so called "completely clipped aneurysm" with catastrophic outcome has been infrequently reported. We describe an unusual case of regrowth of posterior communicating artery aneurysm which was found 13 years after the first successful clipping at the same site. Surgeons should pay attention to the possibility of such a regrowth even though the initial clipping seemed to be perfect. Additional deliberate postoperative angiography might resolve this late consequence.