Clipping of A.com.art. aneurysm-
(rt. pterional approach):
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Following pterional craniotomy, the sylvian fissure is split; the basal cisterns are opened; the int.carotid is coming into view.
Archnoidal dissection over the A1, continues to the aneurysm.
Further dissection of the dense archnoid around the aneurysm. Neck of the aneurysm is defined and clipped.
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