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Value of Cerebral Oxygen Saturation Monitoring During Cardiopulmonary Bypass in an Adult Patient With Moyamoya Disease

2011; Elsevier BV; Volume: 27; Issue: 4 Linguagem: Inglês

10.1053/j.jvca.2011.11.002

1532-8422

Pieter De Buysscher, Anneliese Moerman, Thierry Bové, Michel De Pauw, Patrick Wouters, Stefan De Hert,

Neurological Complications and Syndromes

MOYAMOYA DISEASE (MMD) is a progressive, chronic cerebrovascular occlusive disease occurring predominantly in the Asian population. As described by Suzuki and Takaku1 in 1969, it affects the internal carotid arteries and anterior and middle cerebral arteries, resulting in compensatory collateral networks at the base of the brain. These networks can be observed in cerebral angiography as a "puff of smoke" (moyamoya means "cloud" in Japanese). The clinical appearance is marked by various cerebrovascular incidents, including intracranial hemorrhage, transient ischemic attack (TIA), and recurrent small strokes.