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There is a high incidence of intracranial aneurysms of the AcomA suggesting the possibility of an anatomic risk factor. There also exists an association of termination-type aneurysms with anatomic variations of 1 anterior cerebral artery trunk (A1) as the exclusive or dominant supply to both pericallosal arteries (A2). This yields the hypotheses of aneurysm formation from straight jets of A1 blood.

american journal of neuroradiology

Potent Risk Factor for Aneurysm Formation: Termination Aneurysms of the Anterior Communicating Artery and Detection of A1 Vessel Asymmetry by Flow Dilution