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Hypothermic cardiopulmonary bypass for minimally invasive mitral valve plasty in adult moyamoya disease

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Abstract

A 43-year-old man underwent minimally invasive mitral valve plasty of a flail mitral valve. Four years previously, he had been diagnosed with moyamoya disease (MMD) by cerebral magnetic resonance imaging/angiography findings. In MMD, risk factors for cerebral stroke include changes in arterial carbon dioxide partial pressure, blood pressure, and body temperature. And during cardiopulmonary bypass (CPB), these hemodynamic changes can be challenging. However, hypothermia during CPB can decrease cerebral oxygen consumption and have a cerebral protective effect. We performed a minimally invasive mitral valve plasty, using hypothermic CPB, in a patient with MMD, without any neurological deficits.

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Authors and Affiliations

  1. Department of Anesthesia and Pain Medicine, School of Dentistry, Pusan National University, Yangsan, Gyeongnam, Korea

    Cheul-Hong Kim

  2. Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Mulgeum-eup, Yangsan, Gyeongnam, 626-770, Korea

    Ji-Uk Yoon, Hyeon-Jung Lee, Sang-Wook Shin, Ji-Young Yoon & Joo-Yeon Park

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  1. Cheul-Hong Kim
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  2. Ji-Uk Yoon
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  3. Hyeon-Jung Lee
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  4. Sang-Wook Shin
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  5. Ji-Young Yoon
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  6. Joo-Yeon Park
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Correspondence to Ji-Uk Yoon.

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Kim, CH., Yoon, JU., Lee, HJ. et al. Hypothermic cardiopulmonary bypass for minimally invasive mitral valve plasty in adult moyamoya disease. J Anesth 26, 259–261 (2012). https://doi.org/10.1007/s00540-011-1294-1

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  • DOI: https://doi.org/10.1007/s00540-011-1294-1

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