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Korean Journal of Thoracic and Cardiovascular Surgery

Published online December 2, 2020

Copyright © Journal of Chest Surgery.

Intractable Coronary Spasm Requiring Percutaneous Coronary Intervention after Coronary Artery Bypass Grafting in a Patient with Moyamoya Disease

Hyeon A Kim M.D. , Young Su Kim M.D. , Wook Sung Kim M.D., Ph.D.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Correspondence to:Wook Sung Kim
Tel 82-2-3410-2213
Fax 82-2-3410-0089
E-mail wooksung.kim@samsung.com
ORCID
https://orcid.org/0000-0001-7808-3385

Received: May 20, 2020; Revised: August 11, 2020; Accepted: August 12, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properlycited.

Abstract

Moyamoya disease (MMD) is characterized by progressive steno-occlusive lesions of the distal or proximal branch of the internal carotid arteries, and cerebrovascular symptoms are its major complications. Extracranial vascular involvement including the coronary artery has been reported, and some case reports have described variant angina or myocardial infarction. However, no report has yet described a case of myocardial infarction after coronary artery bypass grafting (CABG). Here, we present a patient with MMD who suffered cardiac arrest caused by myocardial infarction due to a coronary spasm after offpump CABG and who was discharged successfully after treatment with a veno-arterial extracorporeal membrane oxygenator and percutaneous coronary intervention.

Keywords: Moyamoya disease, Coronary vasospasm, Coronary artery disease, Coronary artery bypass surgery

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Korean Journal of Thoracic and Cardiovascular Surgery

Published online December 2, 2020

Copyright © Journal of Chest Surgery.

Intractable Coronary Spasm Requiring Percutaneous Coronary Intervention after Coronary Artery Bypass Grafting in a Patient with Moyamoya Disease

Hyeon A Kim M.D. , Young Su Kim M.D. , Wook Sung Kim M.D., Ph.D.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Correspondence to:Wook Sung Kim
Tel 82-2-3410-2213
Fax 82-2-3410-0089
E-mail wooksung.kim@samsung.com
ORCID
https://orcid.org/0000-0001-7808-3385

Received: May 20, 2020; Revised: August 11, 2020; Accepted: August 12, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properlycited.

Abstract

Moyamoya disease (MMD) is characterized by progressive steno-occlusive lesions of the distal or proximal branch of the internal carotid arteries, and cerebrovascular symptoms are its major complications. Extracranial vascular involvement including the coronary artery has been reported, and some case reports have described variant angina or myocardial infarction. However, no report has yet described a case of myocardial infarction after coronary artery bypass grafting (CABG). Here, we present a patient with MMD who suffered cardiac arrest caused by myocardial infarction due to a coronary spasm after offpump CABG and who was discharged successfully after treatment with a veno-arterial extracorporeal membrane oxygenator and percutaneous coronary intervention.

Keywords: Moyamoya disease, Coronary vasospasm, Coronary artery disease, Coronary artery bypass surgery

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