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Interact CardioVasc Thorac Surg 2008;7:522-523. doi:10.1510/icvts.2007.173682
© 2008 European Association of Cardio-Thoracic Surgery

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Ichiro Kashima
Yoshito Inoue
Ryuichi Takahashi
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Case report - Cardiac general

The use of intra-aortic balloon pump as cerebral protection in a patient with moyamoya disease undergoing coronary artery bypass grafting

Ichiro Kashima*, Yoshito Inoue and Ryuichi Takahashi

Department of Cardiovascular Surgery, Saiseikai Utsumomiya Hospital, 911-1, Takebayashi-machi, Utsunomiya, Tochigi, 321-0974, Japan

*Corresponding author.

E-mail address: ichirokashima{at}saimiya.com (I. Kashima).

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.

Key Words: CABG; ACS; Moyamoya disease; Pulsatile perfusion; Brain protection; IABP







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