Kissing aneurysms between the internal carotid artery and the anterior communicating artery: A case report

H. Wanifuchi, T. Tanikawa, H. Iseki, Y. Muragaki, R. Ishizaki, K. Takakura

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    A rare case of kissing aneurysms arising from the ophthalmic segment of the left internal carotid artery and the anterior communicating artery is reported. A 60-year-old man was suspected of multiple aneurysms based on brain MRA performed as a screening examination. Although the follow up angiography revealed the 2 aneurysms described above, we did not recognize kissing aneurysms because the image of intraaneurysmal contrast medium seemed to overlap each other despite being close together on the every view. Thus, we decided initially to perform surgery on the aneurysm of the anterior communicating artery with irregular wall which seemed to be liable to rupture. Surgical findings demonstrated 2 aneurysms pressing against each other at the dome and adhering with fibrous tissue. Aneurysmal adhesion was so tight that we had to run the risk of dissecting the kissing point sharply to mobilize the aneurysmal complex before fully exposing the neck. The aneurysm of the anterior communicating artery was clipped uneventfully. Seven months later, the residual internal carotid-ophthalmic segment aneurysm was clipped. We emphasize that in a case of multiple aneurysms in close proximity to each other, it is necessary to consider the possibility of kissing aneurysms.

    Original languageEnglish
    Pages (from-to)694-698
    Number of pages5
    JournalJapanese Journal of Neurosurgery
    Issue number11
    Publication statusPublished - 1998 Jan 1



    • Kissing aneurysms
    • Multiple aneurysms

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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