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“Reverse” Bypass Using a Naturally Formed “Bonnet” Superficial Temporal Artery in Symptomatic Common Carotid Artery Occlusion: A Case Report
Authors:Naoki OTANI  Kojiro WADA  Fumihiro SAKAKIBARA  Kimihiro NAGATANI  Satoru TAKEUCHI  Satoshi TOMURA  Hideo OSADA  Daisuke MIZOKAMI  Takuji YAMASHITA  Akihiro SHIOTANI  Kentaro MORI
Institution:1.Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama;2.Department of Otolaryngology, National Defense Medical College, Tokorozawa, Saitama
Abstract:We herein describe a patient with symptomatic common carotid artery occlusion who underwent a reverse superficial temporal artery (STA)-middle cerebral artery (MCA) single bypass using a naturally formed “bonnet” STA. The surgical procedure was performed without difficulty, and no further neurological deterioration was observed after surgery. In practice, this case highlights that the reverse STA-MCA bypass can be achieved safely and less invasively using a naturally formed “bonnet” STA.
Keywords:superficial temporal artery-middle cerebral artery bypass  artery occlusion  transient ischemic attack
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