2025 Poster Presentations
P413: RESCUE M2-A2 BYPASS FOR A LARGE COMPLEX RECURRENT ANTERIOR COMMUNICATING ARTERY ANEURYSM
Sean Himel, MD; Jahangir Sajjad, MBBS, PhD; Cristina Cernei, MBBCh; Richard Edwards, MD; Richard Nelson; Mario Teo, MBChB, PhD; Southmead Hospital North Bristol Trust
Some complex aneurysms, despite multiple previous endovascular and bypass strategies, require further rescue bypass due to repeat hemorrhage and aneurysm recurrence. We present the case of a 17-year-old male with two aneurysmal subarachnoid hemorrhages from a large complex anterior communicating artery aneurysm. Despite multiple endovascular treatments and a previous A3-A3 bypass, his aneurysm recurred ultimately requiring an A2-M2 high flow bypass using a radial artery graft with complete aneurysmal occlusion.