Kissing Aneurysms of the Anterior Communicating Artery Treated With Surgical Clipping: A Case Report and Literature Review

TL;DR

This paper reports a rare case of kissing aneurysms in the brain's anterior communicating artery treated successfully with surgical clipping.

Contribution

The study adds a new clinical case and insights into managing complex kissing aneurysms through surgical clipping.

Findings

A 50-year-old patient with kissing aneurysms of the anterior communicating artery was successfully treated with surgical clipping.

Surgical clipping provided a direct and effective treatment outcome with no pathological follow-up findings.

The case highlights the challenges and potential solutions in managing deep-seated kissing aneurysms.

Abstract

Intracranial “kissing” aneurysms are rare vascular conditions described as two anatomically adjacent aneurysms originating from either the same or different arteries, with their walls pressed together. Two-dimensional angiography was formerly considered the gold standard for diagnosis, with the three-dimensional rotational type now offering more insightful details about vascular discrepancies. The treatment of anterior communicating artery (AcoA) “kissing” aneurysms poses significant challenges, with surgical clipping proving difficult due to their deep midline location or the bilateral anterograde arterial supply. However, advancements in endovascular coil embolization, such as dual-volume reconstruction, can assist in diagnosis. This study presents the case of a 50-year-old patient who was diagnosed with “kissing” aneurysms of the AcoA. The patient underwent surgical clipping and showed no pathological follow-up findings. The surgical intervention often provides a more direct and effective approach. This case contributes to the body of knowledge surrounding the management of this complex disease.

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