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KMID : 0374920050260010121
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Inje Medical Journal
2005 Volume.26 No. 1 p.121 ~ p.126
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A Case of Moyamoya Disease Associated with Coronary Artery Stenosis
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Kim Dong-Kie
Kim Dong-Soo
Kim Dae-Kyeong
Kim Doo-Il
Kim Ki-Hyang
Lee Young-Tae
Kim Seong-Man
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Abstract
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Moyamoya disease is an occlusive intracranial arteriopathy with an abnormal cerebral vascular collateral networks. Although this disease is known to be associated with stenosis of extracranial arteries, such as the renal artery, a case associated with stenosis of the coronary artery is extremely rare. We report a case of coronary artery occlusive disease affected by Moyamoya disease. The patient was a 38-year-old female experiencing intermittent headache and exer tional chest pain. Cerebral MRI showed complete obstruction of both internal carotid arteries and abnormal cerebrovascular systems which confirmed Moyamoya disease. Coronary angiography showed a significant stenosis of left anterior descending coronary artery ostium with TIMI grade I collateral blood flow from the normal right coronary artery. After coronary artery stenting and medical treatment for headache, her subjective symptoms were relieved. In Moyamoya patient, an evaluation of the extracranial (especially coronary artery) vascular system should be considered if there are some evidences of coronary artery disease.
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KEYWORD
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Coronary artery stenosis, Moyamoya disease
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