Delayed re-opening of an STA-MCA bypass graft

Document Type

Article

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. © Springer-Verlag 2006.

Publication Date

9-1-2006

Publication Title

Acta Neurochirurgica

ISSN

00016268

E-ISSN

09420940

Volume

148

Issue

9

First Page

1001

Last Page

1003

PubMed ID

16847551

Digital Object Identifier (DOI)

10.1007/s00701-006-0851-0

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