Contralateral transcallosal resection of a ventricular body arteriovenous malformation: 3D operative video

Authors

Brian P. Walcott, University of California, San Francisco
Jae Seung Bang, University of California, San Francisco
Omar Choudhri, University of California, San Francisco
Sirin Gandhi, University of California, San FranciscoFollow
Halima Tabani, University of California, San Francisco
Arnau Benet, University of California, San FranciscoFollow
Michael T. Lawton, University of California, San FranciscoFollow

Document Type

Article

Abstract

A 46-year-old male presented with an incidentally discovered left ventricular body arteriovenous malformation (AVM). It measured 2 cm in diameter and had drainage via an atrial vein into the internal cerebral vein (Spetzler-Martin Grade III, Supplementary Grade 4). Preoperative embolization of the posterior medial choroidal artery reduced nidus size by 50%. Subsequently, he underwent a right-sided craniotomy for a contralateral transcallosal approach to resect the AVM. This case demonstrates strategic circumferential disconnection of feeding arteries (FAs) to the nidus, the use of aneurysm clips to control large FAs, and the use of dynamic retraction and importance of a generous callosotomy. Postoperatively, he was neurologically intact, and angiogram confirmed complete resection. The video can be found here: https://youtu.be/j0778LfS3MI .

Publication Date

7-1-2017

Publication Title

Neurosurgical focus

E-ISSN

10920684

Volume

43

Issue

Video

First Page

V1

PubMed ID

28669265

Digital Object Identifier (DOI)

10.3171/2017.7.FocusVid.17143

Recommended Citation

Walcott, Brian P.; Bang, Jae Seung; Choudhri, Omar; Gandhi, Sirin; Tabani, Halima; Benet, Arnau; and Lawton, Michael T., "Contralateral transcallosal resection of a ventricular body arteriovenous malformation: 3D operative video" (2017). Neurosurgery. 1208.
https://scholar.barrowneuro.org/neurosurgery/1208