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Case report
Treatment of a pediatric recurrent fusiform middle cerebral artery (MCA) aneurysm with a flow diverter
  1. Anthony M Burrows1,
  2. Gregory Zipfel2,
  3. Giuseppe Lanzino1,3
  1. 1Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA
  2. 2Department of Neurosurgery, Washington University, St Louis, Missouri, USA
  3. 3Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to Dr Giuseppe Lanzino, lanzino.giuseppe{at}mayo.edu

Abstract

Pediatric patients with aneurysm often have different localizations and morphologies from adults and recurrences are not uncommon after successful clip reconstruction/obliteration. Treatment of a recurrent pediatric aneurysm after clip ligation is a technical challenge. We present the case of an adolescent with a middle cerebral artery (MCA) fusiform aneurysm which recurred following clip reconstruction and bypass. The aneurysm was successfully treated with endovascular flow diversion.

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