case_images: PMC3461781_01
case_images: AP and lateral view, respectively, of the giant fusiform aneurysm
case_images: JSTCR-4-53-g001.jpg
case_images: PMC3461781_01_JSTCR-4-53-g001.jpg
case_images: F1
case_images: 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].
case_images: Artistic rendition of the giant fusiform aneurysm of the inferior M2 division
case_images: JSTCR-4-53-g002.jpg
case_images: PMC3461781_01_JSTCR-4-53-g002.jpg
case_images: F2
case_images: Adequate exposure for proximal and distal control was achieved with the ultimate intention of trapping the fusiform segment [Figure 2].
case_images: Artistic rendition of the end to side anastomosis with the ECA
case_images: JSTCR-4-53-g003.jpg
case_images: PMC3461781_01_JSTCR-4-53-g003.jpg
case_images: F3
case_images: Intraoperative angiogram confirmed exclusion of the aneurysm and patency of the graft [Figure 3].
case_images: Immediate postoperative CT scan
case_images: JSTCR-4-53-g004.jpg
case_images: PMC3461781_01_JSTCR-4-53-g004.jpg
case_images: F4
case_images: Graft patency was ensured with biphasic signal on a bedside Doppler ultrasound [Figure 4].