Background: Surgical treatment of large or giant thrombosed anterior cerebral artery (ACA) aneurysms often involves revascularization. Herein, we describe a unique and effective bypass technique to treat partially thrombosed giant distal ACA aneurysms in extremely narrow surgical corridors.
Methods: A 68-year-old man underwent aneurysm trapping and ACA revascularization for a partially thrombosed giant ACA aneurysm in a surgical corridor that was narrow due to anatomic factors.
Absolute configuration at 12 stereocenters in the 36-membered macrocyclic ring portion of poecillastrin C () was disclosed by chemical degradation and NMR analyses of , chemical synthesis, and molecular modeling techniques.
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