{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:08:11Z","timestamp":1791544091465,"version":"4.3.4"},"reference-count":50,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"20","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,5,19]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>De novo aneurysms occurring at the anastomotic site are extremely uncommon, especially following side-to-side (STS) bypass for anterior cerebral artery (ACA) revascularization. Their etiology remains uncertain; however, it is believed to be related to hemodynamic shear stress and inherent vascular fragility, potentially linked to genetic anomalies. Furthermore, surgical intervention is mandatory to avert aneurysm growth or rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 38-year-old-male first presented with a large fusiform aneurysm of the left distal ACA and underwent ACA-ACA STS bypass with aneurysm excision. Nonetheless, the de novo aneurysm was discovered to arise at the bypass site 7 months after the operation. Subsequently, a strategic radical intervention was performed. At the 26-month follow-up, the patient\u2019s modified Rankin Scale score was 0, and there was good bypass patency without aneurysm recurrence. The aneurysm formation was attributed to the fragility of the underlying arterial wall, which might be aggravated by STS bypass as evidenced by the histological findings and computational fluid dynamics (CFD) analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The revascularization strategy must be executed cautiously given the existence of wall disease, which poses a risk for aneurysm formation, particularly following modification by STS bypass, as demonstrated by CFD and histological findings. Careful monitoring and long-term vascular assessment are crucial.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25100\">https:\/\/thejns.org\/doi\/10.3171\/CASE25100<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25100","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T06:42:04Z","timestamp":1747723324000},"source":"Crossref","is-referenced-by-count":1,"title":["Rare case of de novo anastomotic site aneurysm after anterior cerebral artery side-to-side bypass: curative treatment with superficial temporal artery interposition graft-assisted trapping and etiological analysis. Illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Gahn","family":"Duangprasert","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"},{"name":"Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Thammasat University Hospital, Thammasat University, Pathum Thani, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7074-1125","authenticated-orcid":true,"given":"Nakao","family":"Ota","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2937-8130","authenticated-orcid":true,"given":"Yulius","family":"Hermanto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8905-6734","authenticated-orcid":true,"given":"Sergi","family":"Cobos Codina","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosumo","family":"Noda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rokuya","family":"Tanikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"J Neurol Surg A Cent Eur Neurosurg","first-page":"323","article-title":"De novo aneurysm formation at the anastomosis site incidentally detected 2 years after single-barrel STA-MCA bypass surgery: case report and review of the literature","volume":"76","author":"Millesi","year":"2015","unstructured":"Millesi MWang WTHerta JBavinzski GKnosp EGruber A.De novo aneurysm formation at the anastomosis site incidentally detected 2 years after single-barrel STA-MCA bypass surgery: case report and review of the literature. J Neurol Surg A Cent Eur Neurosurg. 2015;76(4):323-327."},{"issue":"5","key":"bib2","series-title":"J Neurosurg","first-page":"1120","article-title":"Revascularization of the anterior cerebral artery by Y-shaped superficial temporal artery interposition graft for the treatment of a de novo aneurysm arising at the site of A3-A3 bypass: technical case report","volume":"129","author":"Endo","year":"2018","unstructured":"Endo HSugiyama SIEndo TFujimura MShimizu HTominaga T.Revascularization of the anterior cerebral artery by Y-shaped superficial temporal artery interposition graft for the treatment of a de novo aneurysm arising at the site of A3-A3 bypass: technical case report. J Neurosurg. 2018;129(5):1120-1124."},{"issue":"5","key":"bib3","series-title":"Neurosurgery","first-page":"E297","article-title":"De novo aneurysm formation on middle cerebral artery branches adjacent to the anastomotic site of superficial temporal artery-middle cerebral artery bypass surgery in two patients: technical case report","volume":"61","author":"Kurokawa","year":"2007","unstructured":"Kurokawa THarada KIshihara HDe novo aneurysm formation on middle cerebral artery branches adjacent to the anastomotic site of superficial temporal artery-middle cerebral artery bypass surgery in two patients: technical case report. Neurosurgery. 2007;61(5suppl 2):E297-E298."},{"issue":"6","key":"bib4","series-title":"Acta Neurochir (Wien)","first-page":"1069","article-title":"Intracerebral hemorrhage caused by rupture of a giant aneurysm complicating superficial temporal artery-middle cerebral artery anastomosis for Moyamoya disease","volume":"152","author":"Eom","year":"2010","unstructured":"Eom KSKim DWKang SD.Intracerebral hemorrhage caused by rupture of a giant aneurysm complicating superficial temporal artery-middle cerebral artery anastomosis for Moyamoya disease. Acta Neurochir (Wien). 2010;152(6):1069-1073."},{"issue":"4","key":"bib5","series-title":"Surg Neurol","first-page":"305","article-title":"Pseudoaneurysm complicating superficial temporal artery\u2014middle cerebral artery bypass","volume":"12","author":"Fleischer","year":"1979","unstructured":"Fleischer ASFaria MAJrHoffmann JCJr.Pseudoaneurysm complicating superficial temporal artery\u2014middle cerebral artery bypass. Surg Neurol. 1979;12(4):305-306."},{"issue":"11","key":"bib6","series-title":"Neurol Med Chir (Tokyo)","first-page":"1012","article-title":"Intracerebral hemorrhage from a ruptured aneurysm at the site of anastomosis 27 years after superficial temporal artery-middle cerebral artery bypass","volume":"50","author":"Hokari","year":"2010","unstructured":"Hokari MYasuda HIwasaki MIntracerebral hemorrhage from a ruptured aneurysm at the site of anastomosis 27 years after superficial temporal artery-middle cerebral artery bypass. Neurol Med Chir (Tokyo). 2010;50(11):1012-1014."},{"issue":"5","key":"bib7","series-title":"Neurosurgery","first-page":"1051","article-title":"Subdural hemorrhage caused by de novo aneurysm complicating extracranial-intracranial bypass surgery: case report","volume":"38","author":"Kohno","year":"1996","unstructured":"Kohno KUeda TKadota OSakaki S.Subdural hemorrhage caused by de novo aneurysm complicating extracranial-intracranial bypass surgery: case report. Neurosurgery. 1996;38(5):1051-1055."},{"issue":"3","key":"bib8","series-title":"J Neurosurg","first-page":"392","article-title":"Fatal subdural bleeding following superficial temporal-middle cerebral artery anastomosis. Case report","volume":"52","author":"Leclercq","year":"1980","unstructured":"Leclercq TAAmbler MW.Fatal subdural bleeding following superficial temporal-middle cerebral artery anastomosis. Case report. J Neurosurg. 1980;52(3):392-394."},{"issue":"6","key":"bib9","series-title":"Surg Cereb Stroke","first-page":"425","article-title":"Disappearance of aneurysm complicating extracranial-intracranial bypass surgery: a case report","volume":"38","author":"Miura","year":"2010","unstructured":"Miura YKamei YUmeda YShimosaka S.Disappearance of aneurysm complicating extracranial-intracranial bypass surgery: a case report. Surg Cereb Stroke. 2010;38(6):425-428."},{"issue":"3","key":"bib10","series-title":"Surg Neurol","first-page":"261","article-title":"A ruptured middle cerebral artery aneurysm originating from the site of anastomosis 20 years after extracranial-intracranial bypass for Moyamoya disease: case report","volume":"64","author":"Nishimoto","year":"2005","unstructured":"Nishimoto TYuki KSasaki TMurakami TKodama YKurisu K.A ruptured middle cerebral artery aneurysm originating from the site of anastomosis 20 years after extracranial-intracranial bypass for Moyamoya disease: case report. Surg Neurol. 2005;64(3):261-265."},{"issue":"8","key":"bib11","series-title":"Neurol Med Chir (Tokyo)","first-page":"408","article-title":"Intracerebral hemorrhage from a ruptured pseudoaneurysm after STA-MCA anastomosis\u2014case report","volume":"40","author":"Nishizawa","year":"2000","unstructured":"Nishizawa SYokoyama TSugiyama KYokota N.Intracerebral hemorrhage from a ruptured pseudoaneurysm after STA-MCA anastomosis\u2014case report. Neurol Med Chir (Tokyo). 2000;40(8):408-412."},{"issue":"3","key":"bib12","series-title":"Surg Neurol","first-page":"229","article-title":"Traumatic aneurysm complicating EC-IC bypass: successful surgical clipping","volume":"15","author":"Parent","year":"1981","unstructured":"Parent ADSmith RR.Traumatic aneurysm complicating EC-IC bypass: successful surgical clipping. Surg Neurol. 1981;15(3):229-231."},{"issue":"3","key":"bib13","series-title":"J Neurosurg","first-page":"500","article-title":"Aneurysm formation and rupture at the site of anastomosis following bypass surgery. Case report","volume":"85","author":"Sasaki","year":"1996","unstructured":"Sasaki TKodama NItokawa H.Aneurysm formation and rupture at the site of anastomosis following bypass surgery. Case report. J Neurosurg. 1996;85(3):500-502."},{"key":"bib14","series-title":"World Neurosurg","first-page":"583.e7","article-title":"De novo aneurysm associated with superficial temporal artery to middle cerebral artery bypass: report of two cases and review of literature","volume":"92","author":"Yokota","year":"2016","unstructured":"Yokota HYokoyama KNoguchi H.De novo aneurysm associated with superficial temporal artery to middle cerebral artery bypass: report of two cases and review of literature. World Neurosurg. 2016;92:583.e7-583.e12."},{"issue":"20","key":"bib15","series-title":"J Neurosurg Case Lessons","first-page":"CASE23529","article-title":"Aneurysm appearing at the anastomosis site 11 years after superficial temporal artery\u2013middle cerebral artery bypass surgery: Moyamoya disease with a rapidly growing aneurysm. Illustrative case","volume":"6","author":"Eguchi","year":"2023","unstructured":"Eguchi HArai KKawamata T.Aneurysm appearing at the anastomosis site 11 years after superficial temporal artery\u2013middle cerebral artery bypass surgery: Moyamoya disease with a rapidly growing aneurysm. Illustrative case. J Neurosurg Case Lessons. 2023;6(20):CASE23529."},{"key":"bib16","series-title":"World Neurosurg","first-page":"314","article-title":"Rapid development of an aneurysm at the anastomotic site of a superficial temporal artery to middle cerebral artery bypass: case report and literature review","volume":"128","author":"Potts","year":"2019","unstructured":"Potts MBHorbinski CMJahromi BS.Rapid development of an aneurysm at the anastomotic site of a superficial temporal artery to middle cerebral artery bypass: case report and literature review. World Neurosurg. 2019;128:314-319."},{"issue":"4","key":"bib17","series-title":"J Neurosurg Case Lessons","first-page":"CASE23665","article-title":"Spontaneous development and involution of a de novo pseudoaneurysm at the superficial temporal artery-middle cerebral artery bypass anastomotic site in a patient with Moyamoya disease: illustrative case","volume":"7","author":"Ravina","year":"2024","unstructured":"Ravina KPatel BYim B.Spontaneous development and involution of a de novo pseudoaneurysm at the superficial temporal artery-middle cerebral artery bypass anastomotic site in a patient with Moyamoya disease: illustrative case. J Neurosurg Case Lessons. 2024;7(4):CASE23665."},{"issue":"4","key":"bib18","series-title":"NMC Case Rep J","first-page":"111","article-title":"Anastomotic aneurysm formation after high flow bypass surgery: a case report with histopathological study","volume":"4","author":"Uchida","year":"2017","unstructured":"Uchida TYoshino MIto SHara T.Anastomotic aneurysm formation after high flow bypass surgery: a case report with histopathological study. NMC Case Rep J. 2017;4(4):111-113."},{"issue":"700","key":"bib19","series-title":"Sci Transl Med","first-page":"eabq7721","article-title":"Increased PDGFRB and NF-\u03baB signaling caused by highly prevalent somatic mutations in intracranial aneurysms","volume":"15","author":"Shima","year":"2023","unstructured":"Shima YSasagawa SOta NIncreased PDGFRB and NF-\u03baB signaling caused by highly prevalent somatic mutations in intracranial aneurysms. Sci Transl Med. 2023;15(700):eabq7721."},{"key":"bib20","series-title":"World Neurosurg","first-page":"328","article-title":"Surgical strategy for complex anterior cerebral artery aneurysms: retrospective case series and literature review","volume":"87","author":"Ota","year":"2016","unstructured":"Ota NTanikawa RMiyama MSurgical strategy for complex anterior cerebral artery aneurysms: retrospective case series and literature review. World Neurosurg. 2016;87:328-345."},{"issue":"2 S","key":"bib21","series-title":"Neurosurgery","first-page":"onsE235","article-title":"Simplified azygos anterior cerebral bypass: y-shaped superficial temporal artery interposition graft from A2 with double reimplantation of pericallosal arteries: technical case report","volume":"72","author":"Mura","year":"2013","unstructured":"Mura JRiquelme FCuevas JLLuna FVizh\u00f1ay P.Simplified azygos anterior cerebral bypass: y-shaped superficial temporal artery interposition graft from A2 with double reimplantation of pericallosal arteries: technical case report. Neurosurgery. 2013;72(2 Suppl Operative):onsE235-ons240."},{"issue":"1","key":"bib22","series-title":"Neurosurgery","first-page":"E207","article-title":"Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm: technical case report","volume":"57","author":"Inoue","year":"2005","unstructured":"Inoue TTsutsumi KOhno HShinozaki M.Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm: technical case report. Neurosurgery. 2005;57(1suppl):E207."},{"issue":"4","key":"bib23","series-title":"J Neurosurg","first-page":"1154","article-title":"The azygos anterior cerebral artery bypass: double reimplantation technique for giant anterior communicating artery aneurysms","volume":"114","author":"Mirzadeh","year":"2011","unstructured":"Mirzadeh ZSanai NLawton MT.The azygos anterior cerebral artery bypass: double reimplantation technique for giant anterior communicating artery aneurysms. J Neurosurg. 2011;114(4):1154-1158."},{"key":"bib24","series-title":"World Neurosurg","first-page":"105","article-title":"Optimizing the approach to STA-MCA bypass surgery and reducing wound complications","volume":"182","author":"Ota","year":"2024","unstructured":"Ota NOno SSaeed FOptimizing the approach to STA-MCA bypass surgery and reducing wound complications. World Neurosurg. 2024;182:105-111."},{"key":"bib25","series-title":"Oper Neurosurg (Hagerstown)","article-title":"Intracranial-intracranial revascularization of the anterior cerebral artery using a superficial temporal artery interposition graft for the treatment of symptomatic atherosclerotic anterior cerebral artery stenosis: a 2-dimensional operative video","author":"Duangprasert","year":"2024","unstructured":"Duangprasert GOta NOkada YIntracranial-intracranial revascularization of the anterior cerebral artery using a superficial temporal artery interposition graft for the treatment of symptomatic atherosclerotic anterior cerebral artery stenosis: a 2-dimensional operative video. Oper Neurosurg (Hagerstown). 2024."},{"issue":"4","key":"bib1","series-title":"J Neurol Surg A Cent Eur Neurosurg","first-page":"323","article-title":"De novo aneurysm formation at the anastomosis site incidentally detected 2 years after single-barrel STA-MCA bypass surgery: case report and review of the literature","volume":"76","author":"Millesi","year":"2015","unstructured":"Millesi MWang WTHerta JBavinzski GKnosp EGruber A.De novo aneurysm formation at the anastomosis site incidentally detected 2 years after single-barrel STA-MCA bypass surgery: case report and review of the literature. J Neurol Surg A Cent Eur Neurosurg. 2015;76(4):323-327."},{"issue":"5","key":"bib2","series-title":"J Neurosurg","first-page":"1120","article-title":"Revascularization of the anterior cerebral artery by Y-shaped superficial temporal artery interposition graft for the treatment of a de novo aneurysm arising at the site of A3-A3 bypass: technical case report","volume":"129","author":"Endo","year":"2018","unstructured":"Endo HSugiyama SIEndo TFujimura MShimizu HTominaga T.Revascularization of the anterior cerebral artery by Y-shaped superficial temporal artery interposition graft for the treatment of a de novo aneurysm arising at the site of A3-A3 bypass: technical case report. J Neurosurg. 2018;129(5):1120-1124."},{"issue":"5","key":"bib3","series-title":"Neurosurgery","first-page":"E297","article-title":"De novo aneurysm formation on middle cerebral artery branches adjacent to the anastomotic site of superficial temporal artery-middle cerebral artery bypass surgery in two patients: technical case report","volume":"61","author":"Kurokawa","year":"2007","unstructured":"Kurokawa THarada KIshihara HDe novo aneurysm formation on middle cerebral artery branches adjacent to the anastomotic site of superficial temporal artery-middle cerebral artery bypass surgery in two patients: technical case report. Neurosurgery. 2007;61(5suppl 2):E297-E298."},{"issue":"6","key":"bib4","series-title":"Acta Neurochir (Wien)","first-page":"1069","article-title":"Intracerebral hemorrhage caused by rupture of a giant aneurysm complicating superficial temporal artery-middle cerebral artery anastomosis for Moyamoya disease","volume":"152","author":"Eom","year":"2010","unstructured":"Eom KSKim DWKang SD.Intracerebral hemorrhage caused by rupture of a giant aneurysm complicating superficial temporal artery-middle cerebral artery anastomosis for Moyamoya disease. Acta Neurochir (Wien). 2010;152(6):1069-1073."},{"issue":"4","key":"bib5","series-title":"Surg Neurol","first-page":"305","article-title":"Pseudoaneurysm complicating superficial temporal artery\u2014middle cerebral artery bypass","volume":"12","author":"Fleischer","year":"1979","unstructured":"Fleischer ASFaria MAJrHoffmann JCJr.Pseudoaneurysm complicating superficial temporal artery\u2014middle cerebral artery bypass. Surg Neurol. 1979;12(4):305-306."},{"issue":"11","key":"bib6","series-title":"Neurol Med Chir (Tokyo)","first-page":"1012","article-title":"Intracerebral hemorrhage from a ruptured aneurysm at the site of anastomosis 27 years after superficial temporal artery-middle cerebral artery bypass","volume":"50","author":"Hokari","year":"2010","unstructured":"Hokari MYasuda HIwasaki MIntracerebral hemorrhage from a ruptured aneurysm at the site of anastomosis 27 years after superficial temporal artery-middle cerebral artery bypass. Neurol Med Chir (Tokyo). 2010;50(11):1012-1014."},{"issue":"5","key":"bib7","series-title":"Neurosurgery","first-page":"1051","article-title":"Subdural hemorrhage caused by de novo aneurysm complicating extracranial-intracranial bypass surgery: case report","volume":"38","author":"Kohno","year":"1996","unstructured":"Kohno KUeda TKadota OSakaki S.Subdural hemorrhage caused by de novo aneurysm complicating extracranial-intracranial bypass surgery: case report. Neurosurgery. 1996;38(5):1051-1055."},{"issue":"3","key":"bib8","series-title":"J Neurosurg","first-page":"392","article-title":"Fatal subdural bleeding following superficial temporal-middle cerebral artery anastomosis. Case report","volume":"52","author":"Leclercq","year":"1980","unstructured":"Leclercq TAAmbler MW.Fatal subdural bleeding following superficial temporal-middle cerebral artery anastomosis. Case report. J Neurosurg. 1980;52(3):392-394."},{"issue":"6","key":"bib9","series-title":"Surg Cereb Stroke","first-page":"425","article-title":"Disappearance of aneurysm complicating extracranial-intracranial bypass surgery: a case report","volume":"38","author":"Miura","year":"2010","unstructured":"Miura YKamei YUmeda YShimosaka S.Disappearance of aneurysm complicating extracranial-intracranial bypass surgery: a case report. Surg Cereb Stroke. 2010;38(6):425-428."},{"issue":"3","key":"bib10","series-title":"Surg Neurol","first-page":"261","article-title":"A ruptured middle cerebral artery aneurysm originating from the site of anastomosis 20 years after extracranial-intracranial bypass for Moyamoya disease: case report","volume":"64","author":"Nishimoto","year":"2005","unstructured":"Nishimoto TYuki KSasaki TMurakami TKodama YKurisu K.A ruptured middle cerebral artery aneurysm originating from the site of anastomosis 20 years after extracranial-intracranial bypass for Moyamoya disease: case report. Surg Neurol. 2005;64(3):261-265."},{"issue":"8","key":"bib11","series-title":"Neurol Med Chir (Tokyo)","first-page":"408","article-title":"Intracerebral hemorrhage from a ruptured pseudoaneurysm after STA-MCA anastomosis\u2014case report","volume":"40","author":"Nishizawa","year":"2000","unstructured":"Nishizawa SYokoyama TSugiyama KYokota N.Intracerebral hemorrhage from a ruptured pseudoaneurysm after STA-MCA anastomosis\u2014case report. Neurol Med Chir (Tokyo). 2000;40(8):408-412."},{"issue":"3","key":"bib12","series-title":"Surg Neurol","first-page":"229","article-title":"Traumatic aneurysm complicating EC-IC bypass: successful surgical clipping","volume":"15","author":"Parent","year":"1981","unstructured":"Parent ADSmith RR.Traumatic aneurysm complicating EC-IC bypass: successful surgical clipping. Surg Neurol. 1981;15(3):229-231."},{"issue":"3","key":"bib13","series-title":"J Neurosurg","first-page":"500","article-title":"Aneurysm formation and rupture at the site of anastomosis following bypass surgery. Case report","volume":"85","author":"Sasaki","year":"1996","unstructured":"Sasaki TKodama NItokawa H.Aneurysm formation and rupture at the site of anastomosis following bypass surgery. Case report. J Neurosurg. 1996;85(3):500-502."},{"key":"bib14","series-title":"World Neurosurg","first-page":"583.e7","article-title":"De novo aneurysm associated with superficial temporal artery to middle cerebral artery bypass: report of two cases and review of literature","volume":"92","author":"Yokota","year":"2016","unstructured":"Yokota HYokoyama KNoguchi H.De novo aneurysm associated with superficial temporal artery to middle cerebral artery bypass: report of two cases and review of literature. World Neurosurg. 2016;92:583.e7-583.e12."},{"issue":"20","key":"bib15","series-title":"J Neurosurg Case Lessons","first-page":"CASE23529","article-title":"Aneurysm appearing at the anastomosis site 11 years after superficial temporal artery\u2013middle cerebral artery bypass surgery: Moyamoya disease with a rapidly growing aneurysm. Illustrative case","volume":"6","author":"Eguchi","year":"2023","unstructured":"Eguchi HArai KKawamata T.Aneurysm appearing at the anastomosis site 11 years after superficial temporal artery\u2013middle cerebral artery bypass surgery: Moyamoya disease with a rapidly growing aneurysm. Illustrative case. J Neurosurg Case Lessons. 2023;6(20):CASE23529."},{"key":"bib16","series-title":"World Neurosurg","first-page":"314","article-title":"Rapid development of an aneurysm at the anastomotic site of a superficial temporal artery to middle cerebral artery bypass: case report and literature review","volume":"128","author":"Potts","year":"2019","unstructured":"Potts MBHorbinski CMJahromi BS.Rapid development of an aneurysm at the anastomotic site of a superficial temporal artery to middle cerebral artery bypass: case report and literature review. World Neurosurg. 2019;128:314-319."},{"issue":"4","key":"bib17","series-title":"J Neurosurg Case Lessons","first-page":"CASE23665","article-title":"Spontaneous development and involution of a de novo pseudoaneurysm at the superficial temporal artery-middle cerebral artery bypass anastomotic site in a patient with Moyamoya disease: illustrative case","volume":"7","author":"Ravina","year":"2024","unstructured":"Ravina KPatel BYim B.Spontaneous development and involution of a de novo pseudoaneurysm at the superficial temporal artery-middle cerebral artery bypass anastomotic site in a patient with Moyamoya disease: illustrative case. J Neurosurg Case Lessons. 2024;7(4):CASE23665."},{"issue":"4","key":"bib18","series-title":"NMC Case Rep J","first-page":"111","article-title":"Anastomotic aneurysm formation after high flow bypass surgery: a case report with histopathological study","volume":"4","author":"Uchida","year":"2017","unstructured":"Uchida TYoshino MIto SHara T.Anastomotic aneurysm formation after high flow bypass surgery: a case report with histopathological study. NMC Case Rep J. 2017;4(4):111-113."},{"issue":"700","key":"bib19","series-title":"Sci Transl Med","first-page":"eabq7721","article-title":"Increased PDGFRB and NF-\u03baB signaling caused by highly prevalent somatic mutations in intracranial aneurysms","volume":"15","author":"Shima","year":"2023","unstructured":"Shima YSasagawa SOta NIncreased PDGFRB and NF-\u03baB signaling caused by highly prevalent somatic mutations in intracranial aneurysms. Sci Transl Med. 2023;15(700):eabq7721."},{"key":"bib20","series-title":"World Neurosurg","first-page":"328","article-title":"Surgical strategy for complex anterior cerebral artery aneurysms: retrospective case series and literature review","volume":"87","author":"Ota","year":"2016","unstructured":"Ota NTanikawa RMiyama MSurgical strategy for complex anterior cerebral artery aneurysms: retrospective case series and literature review. World Neurosurg. 2016;87:328-345."},{"issue":"2 S","key":"bib21","series-title":"Neurosurgery","first-page":"onsE235","article-title":"Simplified azygos anterior cerebral bypass: y-shaped superficial temporal artery interposition graft from A2 with double reimplantation of pericallosal arteries: technical case report","volume":"72","author":"Mura","year":"2013","unstructured":"Mura JRiquelme FCuevas JLLuna FVizh\u00f1ay P.Simplified azygos anterior cerebral bypass: y-shaped superficial temporal artery interposition graft from A2 with double reimplantation of pericallosal arteries: technical case report. Neurosurgery. 2013;72(2 Suppl Operative):onsE235-ons240."},{"issue":"1","key":"bib22","series-title":"Neurosurgery","first-page":"E207","article-title":"Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm: technical case report","volume":"57","author":"Inoue","year":"2005","unstructured":"Inoue TTsutsumi KOhno HShinozaki M.Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm: technical case report. Neurosurgery. 2005;57(1suppl):E207."},{"issue":"4","key":"bib23","series-title":"J Neurosurg","first-page":"1154","article-title":"The azygos anterior cerebral artery bypass: double reimplantation technique for giant anterior communicating artery aneurysms","volume":"114","author":"Mirzadeh","year":"2011","unstructured":"Mirzadeh ZSanai NLawton MT.The azygos anterior cerebral artery bypass: double reimplantation technique for giant anterior communicating artery aneurysms. J Neurosurg. 2011;114(4):1154-1158."},{"key":"bib24","series-title":"World Neurosurg","first-page":"105","article-title":"Optimizing the approach to STA-MCA bypass surgery and reducing wound complications","volume":"182","author":"Ota","year":"2024","unstructured":"Ota NOno SSaeed FOptimizing the approach to STA-MCA bypass surgery and reducing wound complications. 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