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Updated: Oct 1, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Off-pump CABG for a patient with a brain tumor
T Tashiro1, R Zaitu, K Nakamura
1Department of Cardiovascular Surgery, University of Fukuoka School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
Insights
Off-pump coronary artery bypass grafting (CABG) successfully treated a patient with coronary artery disease and a brain tumor. This technique effectively prevented neurological complications in a patient with complex cerebrovascular involvement.
Area of Science:
- Cardiovascular Surgery
- Neurosurgery
- Oncology
Background:
- Patients with coronary artery disease and brain tumors present complex surgical challenges.
- Cerebrovascular involvement by brain tumors necessitates careful consideration during cardiac surgery.
Abstract:
Coronary artery bypass grafting (CABG) without cardiopulmonary bypass (off-pump CABG) was performed on a patient with a brain tumor. A patient with effort angina of the left anterior descending artery (LAD), and diagonal branch stenosis was referred to us for CABG. He had a mass lesion in the brain that was diagnosed as meningioma involving the internal carotid artery and a middle cerebral artery. To avoid brain complications, we performed off-pump CABG using the internal thoracic and radial arteries to the LAD and a diagonal branch. Off-pump CABG was an effective method to avoid brain complications for patients with a brain tumor involving cerebral vessels.
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