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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 9/2016

01-11-2016 | Anatomic Variations

True fenestration of the anterior communicating artery diagnosed by magnetic resonance angiography

Authors: Akira Uchino, Naoko Saito, Takahiro Uehara, Hiroaki Neki, Sinya Kohyama, Fumitaka Yamane

Published in: Surgical and Radiologic Anatomy | Issue 9/2016

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Abstract

Variations of the anterior cerebral artery–anterior communicating artery (ACoA) complex are common. Most are duplicated or partially duplicated ACoAs that are confused with fenestration of the ACoA. We report here an extremely rare case of true fenestration of the ACoA diagnosed by magnetic resonance angiography. Tiny true fenestrations of the ACoA may be overlooked easily by MR angiography. Partial maximum-intensity-projection image and volume-rendering image are useful in identifying true fenestration of the ACoA.
Literature
1.
Bayrak AH, Senturk S, Akay HO, Ozmen CA, Bukte Y, Nazaroglu H (2011) The frequency of intracranial arterial fenestrations: a study with 64-detector CT-angiography. Eur J Radiol 77:392–396CrossRefPubMed
2.
Bharatha A, Aviv RI, White J, Fox AJ, Symons SP (2008) Intracranial arterial fenestrations: frequency on CT angiography and association with other vascular lesions. Surg Radiol Anat 30:397–401CrossRefPubMed
3.
Cooke DL, Stout CE, Kim WT, Kansagra AP, Yu JP, Gu A, Jewell NP, Hetts SW, Higashida RT, Dowd CF, Halbach VV (2014) Cerebral arterial fenestrations. Interv Neuroradiol 20:261–274CrossRefPubMedPubMedCentral
4.
de Gast AN, van Rooij WJ, Sluzewski M (2008) Fenestrations of the anterior communicating artery: incidence on 3D angiography and relationship to aneurysms. AJNR Am J Neuroradiol 29:296–298CrossRefPubMed
5.
Krżyzewski RM, Tomaszewski KA, Kochana M, Kopeć M, Klimek-Piotrowska W, Walocha JA (2015) Anatomical variations of the anterior communicating artery complex: gender relationship. Surg Radiol Anat 37:81–86CrossRefPubMed
6.
Lasjaunias P, Berenstein A, ter brugge KG (2001) Fenestration and duplications. In: Lasjaunias P, Berenstein A, ter Brugge KG (eds) Surgical neuro-angiography, vol 1. Clinical vascular anatomy and variations, 2nd edn. Springer, Berlin, pp 229–237CrossRef
7.
Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–261
8.
Perlmutter D, Rhoton AL Jr (1976) Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg 45:259–272CrossRefPubMed
9.
Sanders WP, Sorek PA, Mehta BA (1993) Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. AJNR Am J Neuroradiol 14:675–680PubMed
10.
Serizawa T, Saeki N, Yamaura A (1997) Microsurgical anatomy and clinical significance of the anterior communicating artery and its perforating branches. Neurosurgery 40:1211–1218CrossRefPubMed
11.
Uchino A, Nomiyama K, Takase Y, Kudo S (2006) Anterior cerebral artery variations detected by MR angiography. Neuroradiology 48:647–652CrossRefPubMed
12.
van Rooij SB, Bechan RS, Peluso JP, Sluzewski M, van Rooij WJ (2015) Fenestrations of intracranial arteries. AJNR Am J Neuroradiol 36:1167–1170CrossRefPubMed
13.
van Rooij SB, van Rooij WJ, Sluzewski M, Sprengers ME (2009) Fenestrations of intracranial arteries detected with 3D rotational angiography. AJNR Am J Neuroradiol 30:1347–1350CrossRefPubMed
14.
Yock DH Jr (1984) Fenestration of the supraclinoid internal carotid artery with rupture of associated aneurysm. AJNR Am J Neuroradiol 5:634–636PubMed
Metadata
Title
True fenestration of the anterior communicating artery diagnosed by magnetic resonance angiography
Authors
Akira Uchino
Naoko Saito
Takahiro Uehara
Hiroaki Neki
Sinya Kohyama
Fumitaka Yamane
Publication date
01-11-2016
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 9/2016
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-016-1646-5

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