Doctors successfully removed a giant aneurysm of 7 cms -almost the size of a tennis ball -from the brain of a 52-yearold Iraqi woman at a private hospital here.

A team of three surgeons at BLK Super Speciality Hospital performed a minimally invasive brain surgery using flow diverter technique to save Sundus Salman, whose aneurysm had relapsed after eight years.

Speaking about the unique surgery Dr. Vikas Gupta, Director, HoD, Neurosurgery, BLK Super Speciality, said, “Aneurysms larger than 2 centimetres (1 inch) are rare, and are called ‘giant aneurysms’. Salman’s aneurysm was 7 centimetres which is extremely huge and surgery in such cases carries huge risks given that it involves vital areas in the brain. The 3D imaging helped in taking all the precautions as it helped us define high risk areas. Her case is a good example of how technology is enabling us to deal with complex cases with ease.”

Dr Gupta explained, “Salman used social media platforms to identify and reach us. She finally wrote me a mail and came to me in the last week of November with a huge bulge in her brain and restricted eye movement which she was suffering from last eight years. Her aneurysm surgery earlier had failed and this time there were greater chances of the aneurysm rupturing because of its size. However, she displayed exemplary courage and survived the removal of a rare and a giant aneurysm from her brain.”

Dr. YP Bundela, Sr Consultant, Neurosurgery, BLK Super Speciality Hospital who was also involved in the surgery, said, “Salman had been operated in Turkey earlier. Her aneurysm was previously treated with stent assisted coil embolization in 2007. Unfortunately, it was not adequate and seven years later the aneurysm (balloon) recurred in much larger form and shape. The 3D imaging and angiogram displayed that microsurgical option was risky due to its giant size and location near the artery which branches to the eyes. By-pass of the main artery was ruled out.”

“In Saana’s previous procedure the aneurysm was coiled with the help of an intra-cranial stent, which was difficult to remove. So a new option was explored to stop the aneurysm from growing further by stopping the flow of blood towards it. A newer form of technique using Max Merlin device to divert the flow of blood was mounted on the bulge of the aneurysm. This resulted in diverting the blood flow away from the bulge. Entire procedure was done successfully in the first week of December. Next day Salman’s eye movements and vision improved and she was discharged after a week,” Dr Gupta added.

He claimed that the Max Merlin device, which is a balloon mounted flow diverter, has been used to correct an aneurysm of this size for the first time in the country.

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