Anterior communicating artery complex fenestration combined with tandem aneurysm: a case report and literature review
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Haibing Liu1, Jingfang Hong2, Shousen Wang1
1Department of Neurosurgery, Fuzong Clinical Medical College of Fujian Medical University, 900th Hospital.
Introduction:
Clinically, anterior communicating artery complex fenestration combined with fenestration-related aneurysms is rare, and combination of this condition with tandem aneurysms is even rarer.
Patient Concerns:
A case of a 43-year-old man with spontaneous subarachnoid hemorrhage.
Diagnosis:
A computed tomography angiography examination revealed a fenestrated anterior communicating artery complex combined with 2 aneurysms. Then, a digital subtraction angiography examination was performed to further determine the diagnosis, which showed a complex anatomical structure of the local tissue. After the aneurysms ruptured, they were partially wrapped by a hematoma and compressed, which increased the difficulty of surgery.
Interventions:
An endovascular interventional therapy method was chosen, and a simple coil was successfully inserted through the blood vessel into the tandem aneurysms to maintain the integrity of the anatomical structure.
Outcomes:
The patient recovered well postoperatively. An imaging review after the operation did not show the aneurysms, and the upper and lower branches were patent.
Conclusion:
Therefore, endovascular treatment is an appropriate choice for arterial fenestration combined with tandem aneurysms, once the aneurysms have ruptured.
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