Bengü Gülhan AYDIN, Hilal AYOĞLU, Gamze KÜÇÜKOSMAN, Mehmet Malik BEREKET

Atan kalpte koroner arter bypass cerrahisi yapılan Moyamoya hastalığında serebral oksimetre monitörizasyonunun yeri

Moyamoya hastalığı, intrakraniyal arterlerin daralması ve tıkanması sonucu kompansatuvar kollateral damarların gelişmesi ile kendini gösteren kronik serebrovasküler bir hastalıktır. Moyamoya hastalarının koroner arter bypass cerrahisi sonrası nörolojik komplikasyonları son yıllardaki teknik gelişmeler, cerrahi modifikasyonlar ve serebral monitörizasyon ile önlenebilir. Perioperatif anestezi yönetimindeki hedef beyin oksijen sunumu ve kullanımı arasındaki dengenin sağlanmasıdır. Bu olgu sunumunda serebral oksimetre monitörizasyonu uyguladığımız, atan kalpte koroner arter bypass cerrahisi yapılan Moyamoya hastasındaki anestezi deneyimimizi paylaşmayı amaçladık.

The role of cerebral oximetry monitoring in off-pump coronary artery bypass surgery of Moyamoya disease

Moyamoya disease is a chronic cerebrovascular disease characterized by the development of compensatory collateral vessels due to progressive narrowing or obstruction of the intracranial arteries. Neurological complications after coronary bypass in patients with Moyamoya disease may be prevented by recent technical developments, surgical modifications, and cerebral monitorization. The objective of perioperative anesthetic management is to provide balance between oxygen supply and consumption of the brain. In this case report, we aim to share our anesthetic experience in a patient with Moyamoya disease who underwent off-pump coronary artery bypass surgery and cerebral oximetry monitoring.

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