Abstract
A 51-year-old man presented with a persistent headache and blurred vision. Magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) showed a giant aneurysm of the right internal carotid artery (ICA) measuring approximately 30 × 25 mm. After a balloon test occlusion (BTO) of the right ICA, preoperative DSA showed good crossflow from the left-hand ICA via the anterior communicating artery (AcomA). Interdisciplinary discussion resulted in the decision to go for microsurgical treatment. The giant aneurysm was approached via a right-hand pterional craniotomy and completely excluded from circulation using the trapping technique with two clips on the ICA. Postoperative DSA confirmed the complete occlusion of the aneurysm. The patient did not develop any new neurological symptoms during the follow-up. The management of large and giant aneurysms of the PcomA by means of the trapping technique is the main topic of this chapter.
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Haj, A., Brawanski, A., Wendl, C.M., Schebesch, KM. (2020). Posterior Communicating Artery Aneurysm: Surgical Trapping of a Giant Posterior Communicating Artery Aneurysm – Balloon Test Occlusion and Clip Ligation for Trapping. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-77827-3_159
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