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Journal of Korean Neurosurgical Society 2005;38(2): 141-143.
Pseudoaneurysm Formed by Slippage of Aneurysmal Clip.
Hyun Cheol Ryu, Sang Won Yoon, Jun Seob Lim
Department of Neurosurgery, Gwangju Christian Hospital, Gwangju, Korea. njoyns@netian.com
ABSTRACT
We report a case of pseudoaneurysm formation after aneurysmal clipping. An aneurysm, which was located on the beginning of orbitofrontal artery, was clipped and wrapped with Surgicel(R) and fibrin glue. Four weeks later, an enlarged aneurysm was detected at the same site on postoperative angiography. We could not find a new aneurysm in the second operation except inflated wrapping region. And clip had been slipped from the original aneurysmal neck. So we concluded that a new aneurysm was a pseudoaneurysm made with surgicel and fibrin glue. And it had been formed from continuous minor leakage caused by slipped clip.
Key Words: Aneurysm; Pseudoaneurysm; Slipped clip; Wrapping
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