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Posterior Cerebral Artery-Posterior Cerebral Artery Bypass

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Surgical Atlas of Cerebral Revascularization
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Abstract

Reconstruction of posterior cerebral artery (PCA) could be performed with superficial temporal artery-PCA (STA-PCA) bypass, in situ PCA-superior cerebellar artery (PCA-SCA) bypass, or P2-P2 reanastomosis. The PCA and SCA are anatomically parallel; however, the PCA caliber is typically double that of the SCA, which limits the utility of PCA-SCA bypass. When treating some complex P2 aneurysms, end-to-end P2-P2 reanastomosis could be performed directly. However, due to the small redundancy and tortuosity of the PCA, it is difficult to perform end-to-end reanastomosis after resection of a giant aneurysm.

Here, we present a case of a previously coiled large PCA aneurysm that was treated by direct end-to-end bypass.

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Correspondence to Wei Zhu .

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Yue, Q., Wang, X., Zhu, W. (2021). Posterior Cerebral Artery-Posterior Cerebral Artery Bypass. In: Mao, Y., Zhu, W., Song, J. (eds) Surgical Atlas of Cerebral Revascularization. Springer, Singapore. https://doi.org/10.1007/978-981-16-0374-7_7

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  • DOI: https://doi.org/10.1007/978-981-16-0374-7_7

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