Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome

In patients with moyamoya syndrome requiring heart surgery, the brain blood flow during the low perfusion state under cardiopulmonary bypass is a concern. We report on a successful mitral valve repair and tricuspid repair in a patient with moyamoya syndrome, performed using an integrated cerebral pr...

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Veröffentlicht in:The Annals of thoracic surgery 2015-06, Vol.99 (6), p.2208-2210
Hauptverfasser: Okamoto, Kazuma, MD, PhD, Arai, Shingo, Hirabayashi, Noriyuki, Morita, Masanori, Kudo, Mikihiko, MD, PhD, Yozu, Ryohei, MD, PhD, Shimizu, Hideyuki, MD, PhD
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container_end_page 2210
container_issue 6
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container_title The Annals of thoracic surgery
container_volume 99
creator Okamoto, Kazuma, MD, PhD
Arai, Shingo
Hirabayashi, Noriyuki
Morita, Masanori
Kudo, Mikihiko, MD, PhD
Yozu, Ryohei, MD, PhD
Shimizu, Hideyuki, MD, PhD
description In patients with moyamoya syndrome requiring heart surgery, the brain blood flow during the low perfusion state under cardiopulmonary bypass is a concern. We report on a successful mitral valve repair and tricuspid repair in a patient with moyamoya syndrome, performed using an integrated cerebral protection strategy with cerebral oxygen saturation monitoring, intraaortic balloon pumping, and cardiopulmonary bypass perfusion at a relatively high pressure. An integrated approach with a thorough discussion among cardiac surgeons, anesthesiologists, and perfusionists was invaluable to protect brain perfusion in a patient with moyamoya syndrome.
doi_str_mv 10.1016/j.athoracsur.2014.08.049
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subjects Brain Ischemia - prevention & control
Cardiothoracic Surgery
Cerebrovascular Circulation - physiology
Female
Humans
Intraoperative Care - methods
Middle Aged
Mitral Valve Insufficiency - surgery
Moyamoya Disease - complications
Perfusion - methods
Surgery
title Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome
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