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

Authors

  • Grgur Dulic Department of Cardiac Surgery, University Hospital Centre Osijek, J. Huttlera 4, J. J. Strossmayer University of Osijek, Osijek, Croatia
  • Ivan Dulic Faculty of medicine, University Hospital Centre Osijek, J. Huttlera 4, J. J. Strossmayer University of Osijek, Osijek, Croatia
  • Zrinka Pozgain Faculty of medicine, University Hospital Centre Osijek, J. Huttlera 4, J. J. Strossmayer University of Osijek, Osijek, Croatia
  • Marko Rimac Department of Cardiac Surgery, University Hospital Centre Osijek, J. Huttlera 4, J. J. Strossmayer University of Osijek, Osijek, Croatia
  • Matija Drinkovic Department of Cardiac Surgery, University Hospital Centre Osijek, J. Huttlera 4, J. J. Strossmayer University of Osijek, Osijek, Croatia

DOI:

https://doi.org/10.1532/hsf.2761

Keywords:

Moyamoya disease; Coronary disease; Coronary artery bypass grafting; Brain protection.

Abstract

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.

References

Coşkun E, Altinay L, Tutun U, Tekin A. 2018. Off-pump coronary artery bypass grafting in moyamoya disease: a case report. Braz J Cardiovasc Surg 33:309-11.

Kim DK, Yoo KJ. 2007. Off-pump coronary artery bypass grafting in moyamoya disease. Yonsei Med J 48:876-8.

Kim JS. 2016. Moyamoya disease: epidemiology, clinical features, and diagnosis. J Stroke 18:2-11.

Okamoto Y, Minakata K, Katsu M. 2010. [Off-pump coronary artery bypass grafting supported by intra-aortic balloon pumping in a patient with moyamoya disease]. Kyobu Geka 63:1057-60. Japanese.

Suzuki J, Takaku A. 1969. Cerebrovascular “moyamoya” disease: disease showing abnormal net-like vessels in base of brain. Arch Neurol 20:288-99.

Published

2020-03-11

How to Cite

Dulic, G., Dulic, I., Pozgain, Z., Rimac, M., & Drinkovic, M. (2020). Urgent Off-Pump Coronary Bypass Grafting in Moyamoya Disease: A Case Report. The Heart Surgery Forum, 23(2), E123-E124. https://doi.org/10.1532/hsf.2761

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