2014•Neurologia medico-chirurgicaOpen access

“Reverse” Bypass Using a Naturally Formed “Bonnet” Superficial Temporal Artery in Symptomatic Common Carotid Artery Occlusion: A Case Report

Naoki Otani, Kojiro Wada, Fumihiro Sakakibara, Kimihiro Nagatani, Satoru Takeuchi, Satoshi Tomura, Hideo Osada, Daisuke Mizokami, Takuji Yamashita, Akihiro Shiotani, Kentaro Mori

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Abstract

We herein describe a patient with symptomatic common carotid artery occlusion who underwent a reverse superficial temporal artery (STA)-middle cerebral artery (MCA) single bypass using a naturally formed "bonnet" STA. The surgical procedure was performed without difficulty, and no further neurological deterioration was observed after surgery. In practice, this case highlights that the reverse STA-MCA bypass can be achieved safely and less invasively using a naturally formed "bonnet" STA.

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Key concepts: Superficial temporal artery, Medicine, Occlusion, Common carotid artery, Middle cerebral artery, Carotid arteries, External carotid artery, Artery