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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
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The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
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Bypasses and reconstruction for complex brain aneurysms.

Harley Brito da Silva1, Mario Messina-Lopez2, Laligam N Sekhar1

  • 1University of Washington, Seattle, Washington.

Methodist Debakey Cardiovascular Journal
|January 28, 2015
PubMed
Summary

Microsurgical bypass remains crucial for complex brain aneurysms. This technique offers a viable treatment option when endovascular methods fall short, as shown in two clinical case studies.

Keywords:
endovascular coilingextra-intra-cranial bypassintracranial aneurysmsubarachnoid hemorrhagevascular reconstruction

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Area of Science:

  • Neurosurgery
  • Cerebrovascular Surgery

Background:

  • Endovascular and stent-assisted coiling have limitations in managing complex brain aneurysms.
  • Microsurgical bypass techniques are essential for specific cerebrovascular challenges.

Purpose of the Study:

  • To review the importance of microsurgical bypass for complex brain aneurysms.
  • To illustrate technical difficulties and indications for bypass surgery using clinical cases.

Main Methods:

  • Review of microsurgical bypass techniques.
  • Analysis of two clinical cases involving complex cerebrovascular aneurysms.

Main Results:

  • Microsurgical bypass is highlighted as a key technique for complex aneurysms.
  • Clinical cases demonstrate the challenges and specific indications for bypass surgery.

Conclusions:

  • Microsurgical bypass surgery is a vital and sometimes the only viable treatment for selected complex brain aneurysms.
  • The technique remains relevant despite advances in endovascular treatments.