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Resection of a Superficial Temporal Artery Aneurysm (Complication of Cranioplasty): Clinical Case

https://doi.org/10.24060/2076-3093-2026-16-1-90-95

Abstract

Introduction. This article presents a rare vascular complication that developed after cranioplasty. Aim. This study aims to describe the successful surgical treatment of a superficial temporal artery (STA) aneurysm that arose as a complication of cranioplasty.

Materials and methods. A 60-year-old patient developed a painful, pulsatile 5-cm STA aneurysm one month after evacuation of an intracerebral hematoma followed by cranioplasty. The diagnosis was confirmed by computed tomography angiography (CTA). Emergency open aneurysmectomy was performed under endotracheal anesthesia, with arterial ligation and resection of the aneurysmal sac.

Results and discussion. The postoperative course was uneventful, and the patient was discharged on postoperative day 7. Aneurysm formation was attributed to intraoperative arterial injury during the preceding procedure. This complication is exceedingly rare. Severe pain and the risk of rupture constituted clear indications for urgent open surgery, despite the theoretical feasibility of endovascular treatment.

Conclusion. Open surgical resection of a superficial temporal artery aneurysm proved to be an effective and safe treatment for this rare complication of cranioplasty.

About the Authors

A. N. Kazantsev
36th Separate Medical Detachment (Airmobile) of the Airborne Troops of the Ministry of Defense of the Russian Federation
Russian Federation

Anton N. Kazantsev — military doctor



V. N. Kholmatov
36th Separate Medical Detachment (Airmobile) of the Airborne Troops of the Ministry of Defense of the Russian Federation
Russian Federation

Vadim N. Kholmatov — military doctor



R. R. Tenishev
36th Separate Medical Detachment (Airmobile) of the Airborne Troops of the Ministry of Defense of the Russian Federation
Russian Federation

Ramil R. Tenishev — military doctor



N. A. Pavlenko
36th Separate Medical Detachment (Airmobile) of the Airborne Troops of the Ministry of Defense of the Russian Federation
Russian Federation

Nikolay A. Pavlenko — military doctor



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Kazantsev A.N., Kholmatov V.N., Tenishev R.R., Pavlenko N.A. Resection of a Superficial Temporal Artery Aneurysm (Complication of Cranioplasty): Clinical Case. Creative surgery and oncology. 2026;16(1):90-95. (In Russ.) https://doi.org/10.24060/2076-3093-2026-16-1-90-95

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ISSN 2076-3093 (Print)
ISSN 2307-0501 (Online)