Delayed re-opening of an STA-MCA bypass graft.
Acta Neurochir (Wien)
; 148(9): 1001-3; discussion 1004, 2006 Sep.
Article
in En
| MEDLINE
| ID: mdl-16847551
ABSTRACT
We describe the case of a 47-year-old female with symptomatic right MCA stenosis who had undergone cerebral revascularization through a superficial temporal artery-to-middle cerebral artery (STA-MCA) bypass. Despite clear patency in the operating room, post-operative angiography showed no flow in the bypass. Her ipsilateral internal carotid artery (ICA) was widely patent. She remained asymptomatic and follow-up angiography four years later showed a widely patent bypass graft in the setting of critical stenosis of the ipsilateral ICA. That the graft was found opened up and supplying the hemisphere was presumably stimulated by an increased "demand" and flow gradient promoting its patency.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Cerebral Revascularization
/
Carotid Stenosis
/
Infarction, Middle Cerebral Artery
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Acta Neurochir (Wien)
Year:
2006
Document type:
Article
Affiliation country:
United States