Cerebral protection during mitral valve repair in a patient with moyamoya syndrome

Kazuma Okamoto, Shingo Arai, Noriyuki Hirabayashi, Masanori Morita, Mikihiko Kudo, Ryohei Yozu, Hideyuki Shimizu

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)2208-2210
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number6
Publication statusPublished - 2015 Jun 1

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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