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...
Gespeichert in:
Veröffentlicht in: | The Annals of thoracic surgery 2015-06, Vol.99 (6), p.2208-2210 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 2210 |
---|---|
container_issue | 6 |
container_start_page | 2208 |
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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1686421734</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003497514017603</els_id><sourcerecordid>1686421734</sourcerecordid><originalsourceid>FETCH-LOGICAL-c429t-54361b54e21e72a26ee962586d19ba7c806b2d8f2385e4f893ccde0a44fcc0b3</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi0EotvCX0A-ckk6dhzHuSDB8im1omorOFqOM6FeknhrO5X23-NoC0icOIxGo3nn6xlCKIOSAZPnu9KkOx-MjUsoOTBRgipBtE_IhtU1LySv26dkAwBVIdqmPiGnMe5yyHP6OTnhEoRUCjbkeosBu2BGehV8Qpucn-n7Jbj5B710aU18M-MD0mvcGxeom6mhVyY5nBP97tIdvfQHM2WjN4e5D37CF-TZYMaILx_9Gbn9-OF2-7m4-Prpy_btRWEFb1NRi0qyrhbIGTbccInY5r2V7FnbmcYqkB3v1cArVaMYVFtZ2yMYIQZroavOyOtj233w9wvGpCcXLY6jmdEvUTOppOCsqUSWqqPUBh9jwEHvg5tMOGgGegWqd_ovUL0C1aB0BppLXz1OWboJ-z-FvwlmwbujAPOpDw6DjjbDsdi7kHHq3rv_mfLmnyZ2dLOzZvyJB4w7v4Q5o9RMR65B36yPXf_KBLBGQlX9AnQIoSk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1686421734</pqid></control><display><type>article</type><title>Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Okamoto, Kazuma, MD, PhD ; Arai, Shingo ; Hirabayashi, Noriyuki ; Morita, Masanori ; Kudo, Mikihiko, MD, PhD ; Yozu, Ryohei, MD, PhD ; Shimizu, Hideyuki, MD, PhD</creator><creatorcontrib>Okamoto, Kazuma, MD, PhD ; Arai, Shingo ; Hirabayashi, Noriyuki ; Morita, Masanori ; Kudo, Mikihiko, MD, PhD ; Yozu, Ryohei, MD, PhD ; Shimizu, Hideyuki, MD, PhD</creatorcontrib><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.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2014.08.049</identifier><identifier>PMID: 26046880</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>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</subject><ispartof>The Annals of thoracic surgery, 2015-06, Vol.99 (6), p.2208-2210</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2015 The Society of Thoracic Surgeons</rights><rights>Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-54361b54e21e72a26ee962586d19ba7c806b2d8f2385e4f893ccde0a44fcc0b3</citedby><cites>FETCH-LOGICAL-c429t-54361b54e21e72a26ee962586d19ba7c806b2d8f2385e4f893ccde0a44fcc0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26046880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okamoto, Kazuma, MD, PhD</creatorcontrib><creatorcontrib>Arai, Shingo</creatorcontrib><creatorcontrib>Hirabayashi, Noriyuki</creatorcontrib><creatorcontrib>Morita, Masanori</creatorcontrib><creatorcontrib>Kudo, Mikihiko, MD, PhD</creatorcontrib><creatorcontrib>Yozu, Ryohei, MD, PhD</creatorcontrib><creatorcontrib>Shimizu, Hideyuki, MD, PhD</creatorcontrib><title>Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><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.</description><subject>Brain Ischemia - prevention & control</subject><subject>Cardiothoracic Surgery</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Care - methods</subject><subject>Middle Aged</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Moyamoya Disease - complications</subject><subject>Perfusion - methods</subject><subject>Surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EotvCX0A-ckk6dhzHuSDB8im1omorOFqOM6FeknhrO5X23-NoC0icOIxGo3nn6xlCKIOSAZPnu9KkOx-MjUsoOTBRgipBtE_IhtU1LySv26dkAwBVIdqmPiGnMe5yyHP6OTnhEoRUCjbkeosBu2BGehV8Qpucn-n7Jbj5B710aU18M-MD0mvcGxeom6mhVyY5nBP97tIdvfQHM2WjN4e5D37CF-TZYMaILx_9Gbn9-OF2-7m4-Prpy_btRWEFb1NRi0qyrhbIGTbccInY5r2V7FnbmcYqkB3v1cArVaMYVFtZ2yMYIQZroavOyOtj233w9wvGpCcXLY6jmdEvUTOppOCsqUSWqqPUBh9jwEHvg5tMOGgGegWqd_ovUL0C1aB0BppLXz1OWboJ-z-FvwlmwbujAPOpDw6DjjbDsdi7kHHq3rv_mfLmnyZ2dLOzZvyJB4w7v4Q5o9RMR65B36yPXf_KBLBGQlX9AnQIoSk</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Okamoto, Kazuma, MD, PhD</creator><creator>Arai, Shingo</creator><creator>Hirabayashi, Noriyuki</creator><creator>Morita, Masanori</creator><creator>Kudo, Mikihiko, MD, PhD</creator><creator>Yozu, Ryohei, MD, PhD</creator><creator>Shimizu, Hideyuki, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome</title><author>Okamoto, Kazuma, MD, PhD ; Arai, Shingo ; Hirabayashi, Noriyuki ; Morita, Masanori ; Kudo, Mikihiko, MD, PhD ; Yozu, Ryohei, MD, PhD ; Shimizu, Hideyuki, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-54361b54e21e72a26ee962586d19ba7c806b2d8f2385e4f893ccde0a44fcc0b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Brain Ischemia - prevention & control</topic><topic>Cardiothoracic Surgery</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Care - methods</topic><topic>Middle Aged</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Moyamoya Disease - complications</topic><topic>Perfusion - methods</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okamoto, Kazuma, MD, PhD</creatorcontrib><creatorcontrib>Arai, Shingo</creatorcontrib><creatorcontrib>Hirabayashi, Noriyuki</creatorcontrib><creatorcontrib>Morita, Masanori</creatorcontrib><creatorcontrib>Kudo, Mikihiko, MD, PhD</creatorcontrib><creatorcontrib>Yozu, Ryohei, MD, PhD</creatorcontrib><creatorcontrib>Shimizu, Hideyuki, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okamoto, Kazuma, MD, PhD</au><au>Arai, Shingo</au><au>Hirabayashi, Noriyuki</au><au>Morita, Masanori</au><au>Kudo, Mikihiko, MD, PhD</au><au>Yozu, Ryohei, MD, PhD</au><au>Shimizu, Hideyuki, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>99</volume><issue>6</issue><spage>2208</spage><epage>2210</epage><pages>2208-2210</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>26046880</pmid><doi>10.1016/j.athoracsur.2014.08.049</doi><tpages>3</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0003-4975 |
ispartof | The Annals of thoracic surgery, 2015-06, Vol.99 (6), p.2208-2210 |
issn | 0003-4975 1552-6259 |
language | eng |
recordid | cdi_proquest_miscellaneous_1686421734 |
source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T06%3A52%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cerebral%20Protection%20During%20Mitral%20Valve%20Repair%20in%20a%20Patient%20With%20Moyamoya%20Syndrome&rft.jtitle=The%20Annals%20of%20thoracic%20surgery&rft.au=Okamoto,%20Kazuma,%20MD,%20PhD&rft.date=2015-06-01&rft.volume=99&rft.issue=6&rft.spage=2208&rft.epage=2210&rft.pages=2208-2210&rft.issn=0003-4975&rft.eissn=1552-6259&rft_id=info:doi/10.1016/j.athoracsur.2014.08.049&rft_dat=%3Cproquest_cross%3E1686421734%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1686421734&rft_id=info:pmid/26046880&rft_els_id=S0003497514017603&rfr_iscdi=true |