Abstract
Moyamoya disease is a rare cerebrovascular disorder characterized by progressive stenosis of the terminal segments of the internal carotid arteries and the development of collateral vessels with a characteristic “puff of smoke” appearance. In this case report, a 36-year-old female patient with a known diagnosis of Moyamoya disease underwent on-pump coronary artery bypass grafting (CABG) for significant stenosis in the LAD and CX arteries. High hematocrit levels and pulsatile flow were maintained during surgery to ensure preservation of cerebral perfusion. No instances of vasculitis were detected in the LIMA and saphenous vein grafts. The postoperative course was uneventful. This case demonstrates the safe application of surgical revascularization in patients with coexisting Moyamoya disease and coronary artery disease.
Ethical Statement
This case report does not contain any identifiable patient information. According to institutional policy, ethical committee approval is not required for single-patient case reports that include only anonymized clinical data. Written informed consent was obtained from the patient for publication.
Supporting Institution
N/A
References
- Suzuki J, Takaku A. Cerebrovascular "moyamoya" disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol. 1969;20(3):288-99.
- Scott RM, Smith ER. Moyamoya disease and moyamoya syndrome. N Engl J Med. 2009;360(12):1226-37.
- Kim JE, Jeon JS. An update on the diagnosis and treatment of adult Moyamoya disease taking into consideration controversial issues. Neurol Res. 2014;36(5):407-16
- Nam TM, Jo KI, Yeon JY, Hong SC, Kim JS. Coronary heart disease in moyamoya disease: are they concomitant or coincidence? J Korean Med Sci. 2015;30(4):470-4.
- Haberal I, Gürer O, Ozsoy D, Cetin G, Mert M. On-pump coronary artery bypass in moyamoya disease: A case report. World J Cardiovasc Dis. 2013;3(3):317–319.
Abstract
Moyamoya hastalığı, internal karotid arterlerin terminal segmentlerinde daralma ve karakteristik kollateral damar gelişimiyle seyreden nadir bir serebrovasküler hastalıktır. Bu olgu sunumunda, bilinen Moyamoya hastalığı tanısı olan 36 yaşındaki kadın hastaya, LAD ve CX darlıkları nedeniyle on-pump koroner arter bypass greftleme (CABG) operasyonu uygulandı. Operasyon süresince yüksek hematokrit düzeyleri ve pulsatil flow tercih edilerek serebral perfüzyon korundu. LIMA ve safen ven örneklerinde vaskülit saptanmadı. Postoperatif dönemde nörolojik komplikasyon gelişmedi. Bu vaka, Moyamoya hastalığı ile birlikte görülen koroner arter hastalığında cerrahi yaklaşımın güvenli uygulanabilirliğini göstermektedir.
Ethical Statement
Bu olgu sunumu herhangi bir tanımlayıcı (kimlik belirleyici) hasta bilgisi içermemektedir. Kurumsal politika gereği, yalnızca anonimleştirilmiş klinik veriler içeren tek hastaya ait olgu sunumları için etik kurul onayı gerekmemektedir. Yayın için hastadan yazılı bilgilendirilmiş onam alınmıştır.
Supporting Institution
N/A
References
- Suzuki J, Takaku A. Cerebrovascular "moyamoya" disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol. 1969;20(3):288-99.
- Scott RM, Smith ER. Moyamoya disease and moyamoya syndrome. N Engl J Med. 2009;360(12):1226-37.
- Kim JE, Jeon JS. An update on the diagnosis and treatment of adult Moyamoya disease taking into consideration controversial issues. Neurol Res. 2014;36(5):407-16
- Nam TM, Jo KI, Yeon JY, Hong SC, Kim JS. Coronary heart disease in moyamoya disease: are they concomitant or coincidence? J Korean Med Sci. 2015;30(4):470-4.
- Haberal I, Gürer O, Ozsoy D, Cetin G, Mert M. On-pump coronary artery bypass in moyamoya disease: A case report. World J Cardiovasc Dis. 2013;3(3):317–319.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | Case Report |
| Authors | |
| Submission Date | December 9, 2025 |
| Acceptance Date | January 21, 2026 |
| Publication Date | January 31, 2026 |
| Published in Issue | Year 2026 Volume: 10 Issue: 1 |