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- Kazuma Okamoto, Shingo Arai, Noriyuki Hirabayashi, Masanori Morita, Mikihiko Kudo, Ryohei Yozu, and Hideyuki Shimizu.
- Division of Cardiovascular Surgery, Keio University, Tokyo, Japan. Electronic address: kazuma_okamoto@mac.com.
- Ann. Thorac. Surg. 2015 Jun 1;99(6):2208-10.
AbstractIn 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.Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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