[A rare case of XXXX at the site of temporary clip application].

@entity1 @entity410 @entity548 @entity510 @entity39 @entity772 @entity439 @entity397 @entity715 @entity438
Anterior communicating @entity438 was shown in a 48-year-old @entity1 who had suffered from @entity510 ( @entity510 ) by cerebral angiography. Right pterional approach was performed on the 40th day after @entity510 . @entity397 occurred during @entity439 and temporary clip (Scoville clip) was placed at the middle of the right A1 segment for fifteen minutes. the anterior communicating @entity438 was successfully clipped and postoperative course was uneventful. But, four days after the operation, the @entity1 fell into @entity772 following generalized tonic @entity410 . Lumbar puncture showed fresh @entity510 . Consciousness recovered gradually to a lethargic state. A newly formed @entity439 was revealed on the righ A1 segment at the site of the temporary clip application by cerebral angiography performed on the seventh day after aneurysmal surgery. Second attack occurred on the 12th postoperative day and the @entity1 died on the 16th day after the operation. Postmortem findings disclosed massive subarachnoid and @entity548 from the ruptured @entity439 at the right A1 segment. Microscopic examination of the @entity439 and the right A1 segment. microscopic examination of the @entity439 and the right A1 segment showed the extensive destruction of the artery and massive proliferation of aspergillus in the arterial wall which was prominent of its outer layer. The mechanism of the formation of the new @entity439 in this case was considered as follows: the arterial wall was primarily damaged by the temporary clip and was weakened rapidly by the invasion of aspergillus, probably producing @entity715 of the vast vasorum, @entity548 , and @entity39 in it.
