BACKGROUND Giant middle cerebral artery aneurysms are frequently anatomically complicated. Trapping may yield poor outcome, and bypass revascularization is often necessary as an adjunctive treatment to preserve flow. METHOD The technical nuances of superficial temporal artery to middle cerebral artery bypass are described in the setting of clip reconstruction of giant middle cerebral artery (MCA) aneurysm. In addition to an operative video, the anatomy and surgical technique are demonstrated in virtual reality to enhance the didactic clarity. CONCLUSION Meticulous technique is paramount for successful superficial temporal artery MCA bypass. Along with clip reconstruction, it is a critical part of the treatment of complex, giant MCA aneurysms.

中文翻译：

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我该怎么做：颞浅动脉至大脑中动脉旁路治疗巨大的大脑中动脉瘤。

背景技术巨大的大脑中动脉瘤通常在解剖学上是复杂的。诱捕可能会导致不良结果，通常需要旁路血运重建作为辅助治疗以保持血流。方法描述了颞中动脉至大脑中动脉搭桥术的技术细微差别。除了手术录像之外，还在虚拟现实中演示了解剖结构和手术技术，以提高教学的清晰度。结论精细技术是成功进行颞浅动脉MCA旁路手术的首要条件。与夹子重建一起，它是治疗复杂的巨大MCA动脉瘤的关键部分。