Korean J Thorac Cardiovasc Surg.  2003 Oct;36(10):772-775.

Cardiac Surgery Using CPB in Moyamoya Disease: A Case Report

• Lee GB
• Chee HK
• Kim EJ
• Shin YC
• Park JW
• Lee WJ
• Park JH
• Son JH

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.

Keyword

Cerebral circulation; Heart septal defect, atrial; Coronary artery bypass

MeSH Terms

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