On-Pump Coronary Artery Bypass Grafting in A Patient with Moyamoya Disease: A Case Report

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.

Keywords

• moyamoya disease
• coronary artery bypass
• coronary artery disease

On-Pump Coronary Artery Bypass Grafting in A Patient with Moyamoya Disease: A Case Report

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.

Keywords

• moyamoya hastalığı
• koroner arter hastalığı
• koroner arter bypass

References

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