Off-pump Coronary Artery Bypass Grafting in Moyamoya Disease: a Case Report

Coşkun, Elif; Altinay, Levent; Tütün, Ufuk; Tekin, Anıl

doi:10.21470/1678-9741-2017-0219

Cited by 3 publications

(2 citation statements)

References 3 publications

(7 reference statements)

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“…The third case was a 40-year-old Japanese woman with left main trunk disease in whom off-pump CABG was performed, supported by intra-aortic balloon pumping to maintain appropriate blood flow intraoperatively [Okamoto 2010]. In the last case, a 53-year-old Turkish male was treated with off-pump CABG [Coşkun 2018].…”

Section: Discussionmentioning

confidence: 99%

Urgent Off-Pump Coronary Bypass Grafting in Moyamoya Disease: A Case Report

Dulić

Požgain

et al. 2020

HSF

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Moyamoya disease is a rare progressive cerebrovascular occlusive disease that predominantly occurs in countries in Northeast Asia. We report a 54-year-old male patient with moyamoya and coronary artery disease, on whom urgent off-pump coronary artery bypass grafting was performed after cardiopulmonary reanimation due to ventricular fibrillation. This patient had left main trunk disease, a Pudenz peritoneal catheter (Medtronic, Inc., Minneapolis, MN, USA) for liquor drainage, bilateral internal carotid artery occlusion, diffuse peripheral atherosclerotic artery disease, and chronic renal insufficiency. We prefer off-pump surgery to avoid the risk of intraoperative hypotension and minimize the risk of perioperative cerebral ischemic complications.

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Section: Discussionmentioning

confidence: 99%

Urgent Off-Pump Coronary Bypass Grafting in Moyamoya Disease: A Case Report

Dulić

Požgain

et al. 2020

HSF

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“…The key strategy is to keep the blood pressure, PaCO2, hematocrit, and body temperature to normal and should be adjusted rigorously intraoperatively. Off-pump coronary artery bypass (OPCAB) is a safe procedure that avoids the risk of CPB related hypotensive brain ischemia, for multi-vessel coronary patients with moyamoya disease [80,81].…”

Section: Cardiac Surgerymentioning

confidence: 99%

Perioperative Considerations for Revascularization and Non-Revascularization Surgeries in Moyamoya Disease

Khan¹,

Hassan²,

Aboobacker³

et al. 2021

Moyamoya Disease - A Disease to Count on in Your Daily Practice

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Moyamoya disease is a rare, progressive cerebrovascular occlusive disease; characterized by narrowing of the distal internal carotid arteries and their branches. The incidence is high in East Asians and most commonly presents in the first and fourth decade of life. Its symptoms are headaches, seizures, transient neurological deficits, and cognitive decline. Medical management is based on treating the symptoms and includes antiplatelet and anti-seizure medications. Surgical revascularization is the mainstay of treatment. Unique pathophysiology of moyamoya disease necessitates neuro-anesthesiologists to formulate an individualized plan perioperatively. The overriding goal of perioperative anesthetic management of moyamoya disease is to ensure optimal cerebral perfusion and protection. Maintenance of normotension, normocarbia, normo-oxygenation, normothermia, and euvolemia is the cornerstone during the perioperative period. Perioperative adequate analgesia is crucial to prevent cerebral ischemia and allows close neurological monitoring. This chapter reviews perioperative anesthetic management of patients with moyamoya disease.

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