Management of pediatric patients with moyamoya arteriopathy and middle aortic syndrome: a retrospective single-institution case series
Managing comorbid moyamoya arteriopathy and MAS is challenging, as patients have a higher risk of ischemic perioperative complications. These patients may have hypertension secondary to their aortic disease, and treating the aortic disease may correct the hypertension but with possible new relative hypotension and relative cerebral hypoperfusion. Consequently, moyamoya revascularization prior to aortic repair may be a strategy to reduce the risk of stroke.
Authors
- Alfred P. See (ORCID: https://orcid.org/0000-0003-3634-4692)
- Carolina Lopes
- Craig D. McClain (ORCID: https://orcid.org/0000-0002-3462-9638)
- Soliman Oushy (ORCID: https://orcid.org/0000-0001-6343-6950)
- Laura L. Lehman (ORCID: https://orcid.org/0000-0002-6007-0356)
- Deborah R. Stein
- Michael A. Ferguson (ORCID: https://orcid.org/0000-0002-8751-3348)
- Jennifer Judge
- J Rispoli
- Edward R. Smith
- Darren B. Orbach
- Michelle Dowling
Institutions
- Boston Children's Hospital (US)
- Harvard University (US)
- Center for Pain and the Brain (US)
Publication Details
- Journal
- Journal of Neurosurgery Pediatrics
- Published
- 2026-03-13
- DOI
- https://doi.org/10.3171/2025.11.peds25460
- Primary Topic
- Moyamoya disease diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00