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Figure 3: Combined anastomosis. (a) 6-year female pre op MRA showing bilateral ICA stenosis with extensive moyamoya vessels, more on the left side. (b) Post op MRA after left sided surgery shows patent bypass; Type B surgical synangiotic vessels and extensive regression of moyamoya vessels (c) Pre op MRA in a 4-year male (d) Post op MRA after surgery on the left side showing patent bypass; Type B surgical synangiotic vessels and regression of moyamoya vessels

Figure 3: Combined anastomosis. (a) 6-year female pre op MRA showing bilateral ICA stenosis with extensive moyamoya vessels, more on the left side. (b) Post op MRA after left sided surgery shows patent bypass; Type B surgical synangiotic vessels and extensive regression of moyamoya vessels (c) Pre op MRA in a 4-year male (d) Post op MRA after surgery on the left side showing patent bypass; Type B surgical synangiotic vessels and regression of moyamoya vessels