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Surgical treatment strategies for intracranial fusiform aneurysms secondary to cardiac myxomas: illustrative case

Year: 2025

Type: article

Abstract: BACKGROUND: Intracranial myxomatous aneurysms secondary to cardiac myxomas are rare. Fusiform aneurysms, often multiple and predominantly involving distal vessels, represent the predominant manifestation. To date, there remains no consensus on the optimal management strategy for these fusiform aneurysms. OBSERVATIONS: The authors present the first case of a patient who underwent resection of a middle cerebral artery aneurysm and M3-superficial temporal artery (STA)-M3 end-to-end anastomosis bypass surgery 10 years following cardiac myxoma resection. They also review case reports on the treatment, neurological symptoms, and prognosis of fusiform aneurysms secondary to cardiac myxomas since 2005. LESSONS: Treatment options for aneurysms encompass conservative management, embolization, radiation therapy, clipping, resection, and combined bypass procedures. Among the cases included this report, only 1 patient died during follow-up; the rest of the patients had a good prognosis. Although the natural course of unruptured, seemingly benign aneurysms seems favorable, many patients experience concurrent neurological symptoms. Aneurysm resection combined with M3-STA-M3 end-to-end anastomosis bypass is an effective treatment for fusiform aneurysms and reducing the risk of cerebral ischemia. https://thejns.org/doi/10.3171/CASE2590.

Source: Journal of Neurosurgery Case Lessons

DOI: 10.3171/case2590

Authors: Wu Xinyu, Wei Zhen, Fuyong Li, Peng Cao

Institution: Liaoning Provincial People's Hospital

Language: English

Topic: Intracranial Aneurysms: Treatment and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4410735667