Acute thrombosis and recanalization of a ruptured anterior communicating artery aneurysm

Abstract A 35-year-old man sustained a subarachnoid hemorrhage due to the rupture of an anterior communicating artery aneurysm. A second angiogram taken 8 hours later demonstrated that the ruptured aneurysm had thrombosed spontaneously with a small residual aneurysm stump at the neck. CT scans and c...

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Published inJournal of clinical neuroscience Vol. 16; no. 8; pp. 1077 - 1079
Main Authors Su, Thung-Ming, Hsu, Shih-Wei, Chen, Wu-Fu, Lee, Tao-Chen, Cheng, Ching-Hsiao
Format Journal Article
LanguageEnglish
Published Scotland Elsevier Ltd 01.08.2009
Subjects
Adult
Aneurysm
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - pathology
Aneurysm, Ruptured - therapy
Cerebral Angiography
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - pathology
Intracranial Aneurysm - therapy
Intracranial Thrombosis - diagnostic imaging
Intracranial Thrombosis - pathology
Intracranial Thrombosis - therapy
Magnetic Resonance Imaging
Male
Neurology
Recanalization
Risk Factors
Thrombosis
Tomography, X-Ray Computed
Treatment Outcome
Recanalization
Thrombosis
Aneurysm
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Summary:Abstract A 35-year-old man sustained a subarachnoid hemorrhage due to the rupture of an anterior communicating artery aneurysm. A second angiogram taken 8 hours later demonstrated that the ruptured aneurysm had thrombosed spontaneously with a small residual aneurysm stump at the neck. CT scans and conventional angiograms taken 2 days later demonstrated recanalization of the aneurysm, which was successfully treated by endovascular coiling. This case differs from previous reports of spontaneously thrombosed ruptured aneurysms because the aneurysm recanalized within 2 days. Thus a thrombosed ruptured aneurysm has the potential for recanalization, and should be considered at risk of further hemorrhage.
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ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2008.08.013