Video-assisted thoracoscopic surgery in an adult moyamoya disease case

Moyamoya disease (MMD) is a progressive cerebrovascular occlusive disease of the internal carotid arteries and their proximal branches with compensatory collateral networks and is an increasingly recognized cause of stroke [1]. During the perioperative period, appropriate hemodynamic control and ventilation are required to prevent cerebral ischemia in patients with MMD [2]. There are some reports of cardiac surgery in MMD patients [3,4]; however, lung surgery, which is also challenging for these patients because one-lung ventilation (OLV) additionally complicates respiratory management, has never been reported.

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