PMC3461781_01
AP and lateral view, respectively, of the giant fusiform aneurysm
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F1
Subsequent digital subtraction cerebral angiography demonstrated a giant, fusiform (29x17 mm) aneurysm involving the inferior division of the right M2 segment After extensive counseling with the patients family, craniotomy was recommended and scheduled [Figure 1].
Artistic rendition of the giant fusiform aneurysm of the inferior M2 division
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F2
Adequate exposure for proximal and distal control was achieved with the ultimate intention of trapping the fusiform segment [Figure 2].
Artistic rendition of the end to side anastomosis with the ECA
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F3
Intraoperative angiogram confirmed exclusion of the aneurysm and patency of the graft [Figure 3].
Immediate postoperative CT scan
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F4
Graft patency was ensured with biphasic signal on a bedside Doppler ultrasound [Figure 4].