Common origin of the anterior choroidal artery and posterior communicating artery with a concomitant aneurysm at the internal carotid artery-posterior communicating artery junction: A case report

Chen,Hao; Yu,Jinlu

doi:10.3892/mi.2021.12

September-October 2021 Volume 1 Issue 4

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September-October 2021 Volume 1 Issue 4

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Case Report Open Access

Common origin of the anterior choroidal artery and posterior communicating artery with a concomitant aneurysm at the internal carotid artery-posterior communicating artery junction: A case report

Authors:
- Hao Chen
- Jinlu Yu
View Affiliations / Copyright

Affiliations: Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China

Copyright: © Chen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 12
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Published online on: August 24, 2021

https://doi.org/10.3892/mi.2021.12
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Abstract

The anterior choroidal artery (AChA) is one of the main arteries, and it can exhibit several anomalies, among which is the common origin of the AChA and posterior communicating artery (PcomA); however, this is relatively rare. In the case that the AChA originates from the PcomA, it is highly uncommon for a concomitant aneurysm to develop at the internal carotid artery (ICA)-PcomA junction. The present study reports such a case. A 58-year-old female developed a headache with nausea and vomiting. Computed tomography (CT) revealed a subarachnoid hemorrhage. CT angiography and digital subtraction angiography (DSA) revealed a right ICA-PcomA aneurysm, with the AChA arising from the proximal segment of the PcomA. The aneurysm was clipped in the hybrid operating room. DSA confirmed that the aneurysm had been clipped completely, and that the PcomA and AChA had been retained. Following surgery, the patient recovered well without any sequelae. CT angiography revealed no recurrence of the aneurysm at the 3-month follow-up. On the whole, as demonstrated by the case presented herein, when the AChA and PcomA have a common origin, the AChA and PcomA should be retained during concomitant aneurysm clipping at the ICA-PcomA to prevent severe infarction complications. Surgical clipping during hybrid surgery is a suitable choice.

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1	Yu J, Xu N, Zhao Y and Yu J: Clinical importance of the anterior choroidal artery: A review of the literature. Int J Med Sci. 15:368–375. 2018.PubMed/NCBI View Article : Google Scholar
2	Iihoshi S, Nonaka T, Miyata K and Houkin K: Angiographic analysis of variations and anomalous origin of the anterior choroidal artery and posterior communicating artery. No Shinkei Geka. 38:523–530. 2010.PubMed/NCBI(In Japanese).
3	Doi K, Mizuno T, Shigematsu Y, Kobayashi O, Takezaki T, Muta D and Nishi T: A new type of hyperplastic anterior choroidal artery. J Clin Neurosci. 51:72–74. 2018.PubMed/NCBI View Article : Google Scholar
4	Mamaliga T, White AC, Khattar NK and Hadi M: Anomalous origin of the anterior choroidal artery proximal to an ipsilateral fetal posterior cerebral artery: Case report of an extremely rare anatomic variant and discussion of its clinical implications. Cureus. 11(e6442)2019.PubMed/NCBI View Article : Google Scholar
5	Otomo E: The anterior choroidal artery. Arch Neurol. 13:656–658. 1965.PubMed/NCBI View Article : Google Scholar
6	Takahashi S, Suga T, Kawata Y and Sakamoto K: Anterior choroidal artery: Angiographic analysis of variations and anomalies. AJNR Am J Neuroradiol. 11:719–729. 1990.PubMed/NCBI
7	Akar A, Sengul G and Aydin IH: The variations of the anterior choroidal artery: An intraoperative study. Turk Neurosurg. 19:349–352. 2009.PubMed/NCBI
8	Tonetti DA, Andrews EG, Stabingas K, Tyler-Kabara E, Gross BA and Jadhav A: Posterior communicating artery giving rise to shared-origin anterior choroidal artery: Case illustration. World Neurosurg. 109:413–415. 2018.PubMed/NCBI View Article : Google Scholar
9	Choi CY and Lee CH: Transposition of anterior choroidal artery and posterior communicating artery origin. J Korean Neurosurg Soc. 52:240–242. 2012.PubMed/NCBI View Article : Google Scholar
10	Chenin L, Chivot C, Toussaint P, Deramond H and Peltier J: An unusual, duplicate origin of the anterior choroidal artery with aneurysm: A case report. Surg Radiol Anat. 37:1273–1275. 2015.PubMed/NCBI View Article : Google Scholar
11	Uchino A, Kamide T and Kurita H: Replaced posterior cerebral artery (PCA): Origin of all branches of the PCA from the anterior choroidal artery diagnosed by MR angiography. Surg Radiol Anat. 41:703–705. 2019.PubMed/NCBI View Article : Google Scholar
12	Padget DH: The development of the cranial arteries in the human embryo. Contrib Embryol. 32:205–229. 1948.
13	Zampakis P, Panagiotopoulos V, Petsas T and Kalogeropoulou C: Common and uncommon intracranial arterial anatomic variations in multi-detector computed tomography angiography (MDCTA). What radiologists should be aware of. Insights Imaging. 6:33–42. 2015.PubMed/NCBI View Article : Google Scholar

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Common origin of the anterior choroidal artery and posterior communicating artery with a concomitant aneurysm at the internal carotid artery-posterior communicating artery junction: A case report

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