Cardiac Surgery Using CPB in Moyamoya Disease: A Case Report.
- Author:
Gi Bok LEE
1
;
Hyun Keun CHEE
;
Eung Joong KIM
;
Yoon Cheol SHIN
;
Jong Woon PARK
;
Won Jin LEE
;
Jin Hong PARK
;
Jeong Hwan SON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Hallym University Medical College, Seoul, Korea. cheehk@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Cerebral circulation;
Heart septal defect, atrial;
Coronary artery bypass
- MeSH:
Brain;
Brain Ischemia;
Cardiopulmonary Bypass;
Carotid Artery, Internal;
Cerebral Arteries;
Cerebrovascular Disorders;
Constriction, Pathologic;
Coronary Artery Bypass;
Coronary Artery Disease;
Humans;
Moyamoya Disease*;
Thoracic Surgery*;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(10):772-775
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Moyamoya disease is an unusual cerebrovascular disorder characterized by occlusive intimal dysplasia of the distal internal carotid and proximal cerebral arteries, but the etiology remains unclear. Angiographic characteristics include bilateral stenosis or occlusion of the terminal portions of the intracranial internal carotid arteries and bilateral development of fine collateral vessels at the base of the brain known as 'Moyamoya vessels'. Cardiac surgery using cardiopulmonary bypass due to coronary artery disease and others among patients with moyamoya disease is very rare, and cardiac surgery for such patients has a potential risk of intraoperative and perioperative brain ischemia. We successfully treated a patient who underwent artrial septal defect closure and coronary artery bypass graft using the cardiopulmonary bypass, so we report this case with a brief literature review.
