The use of intra-aortic balloon pump as cerebral protection in a patient with moyamoya disease undergoing coronary artery bypass grafting.
We performed coronary artery bypass grafting in an urgent and rare case of acute coronary syndrome with moyamoya disease in a 75-year-old female. Because of collateral dependent severe cerebrovascular obstruction, additional support for brain protection was necessary; we used high pressure pulsatile perfusion assist to maintain cerebral circulation with an intra-aortic balloon pump support throughout the cardiopulmonary bypass, giving a successful outcome.
Kashima
Ichiro
I
Department of Cardiovascular Surgery, Saiseikai Utsumomiya Hospital, 911-1, Takebayashi-machi, Utsunomiya, Tochigi, 321-0974, Japan. ichirokashima@saimiya.com
Inoue
Yoshito
Y
Takahashi
Ryuichi
R
D054058:Acute Coronary Syndrome / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D000368:Aged; D002545:Brain Ischemia / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000517:prevention & control*; D002315:Cardiopulmonary Bypass; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D007423:Intra-Aortic Balloon Pumping; D018810:Magnetic Resonance Angiography; D009072:Moyamoya Disease / Q000150:complications* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome