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A 56-year-old man with ruptured right P2-P3 junction aneurysm and a 66-year-old man with ruptured left P2-P3 junction aneurysm of the posterior cerebral artery associated with acute-stage packed intraventricular hemorrhage. The aneurysms were successfully clipped through the transcortical transchoroidal fissure approach. This approach requires less retraction of the temporal lobe, provides a wider surgical field, and the P2 segment can be easily reached. The present approach is very useful for the treatment of ruptured aneurysms at the P2-P3 junction, in particular for acute stage surgery associated with packed intraventricular hemorrhage.

neurologia medico-chirurgica

Transcortical Transchoroidal Fissure Approach for Ruptured Distal Posterior Cerebral Artery (P2-P3 Junction) Aneurysm Associated With Packed Intraventricular Hemorrhage. Two Case Reports.