Treatment of complex aneurysms often requires additional surgical tools including the use of the extra-intracranial (EC-IC) bypass. The following report depicts the utilization of the EC-IC bypass in treating a dissecting aneurysm several hours after a salvage emergent evacuation of an acute subdural hematoma via decompressive craniectomy (DC). Preserving the superficial temporal artery during the DC provided a donor artery for the bypass surgery.

Department of Neurosurgery Complejo Hospitalario Metropolitano Dr Arnulfo Arias Madrid Panama 07096 Panama

Department of Neurosurgery J E Purkyne University Masaryk Hospital 401 13 Ústí nad Labem Czech Republic

Department of Radiology J E Purkyne University Masaryk Hospital 401 13 Ústí nad Labem Czech Republic

Institute of Anatomy 1st Medical Faculty Charles University 128 00 Prague Czech Republic

Institute of Experimental Medicine Academy of Sciences of the Czech Republic 142 20 Prague Czech Republic

International Clinical Research Center St Anne's University Hospital 656 91 Brno Czech Republic

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