Current Concepts of Cerebrovascular Disease — Stroke Central Nervous System Complications of Open Heart Surgery

نویسنده

  • ANTHONY J. FURLAN
چکیده

Stroke and encephalopathy remain major causes of morbidity and occasional mortality complicating open heart surgery. Open heart surgery poses many hemodynamic, embolic, and metabolic threats to the brain, yet the cause of neurological damage often remains uncertain in the individual patient. Failure to recognize the multitude of potential causes for severe or subtle brain dysfunction after open heart surgery can lead to overemphasis of a few highly visible factors such as extracranial vascular disease.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Central nervous system complications of open heart surgery.

Stroke and encephalopathy remain major causes of morbidity and occasional mortality complicating open heart surgery. Open heart surgery poses many hemodynamic, embolic, and metabolic threats to the brain, yet the cause of neurological damage often remains uncertain in the individual patient. Failure to recognize the multitude of potential causes for severe or subtle brain dysfunction after open...

متن کامل

Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of 421 patients.

A prospective analysis of 421 patients undergoing coronary artery bypass graft (CABG) surgery as the sole cardiac procedure was carried out to assess the frequency of central nervous system (CNS) complications. In all, 451 variables were assessed in each patient. Stroke occurred in 5.2% but was severe in only 2%. Prolonged encephalopathy occurred in 11.6% but usually resolved before discharge. ...

متن کامل

A Case Report of Primary Angiitis of the Central Nervous System

BACKGROUND AND OBJECTIVE: Primary angiitis of the central nervous system (PACNS) is an inflammatory vasculitis with very low frequency and prevalence. It is not clear why the inflammatory process of this disease is limited to cerebrovascular disease without systemic manifestations. A case of primary angiitis of the central nervous system with cerebrovascular manifestations is reported here.  C...

متن کامل

Neurologic and neuropsychological morbidity following major surgery: comparison of coronary artery bypass and peripheral vascular surgery.

As part of a prospective study of the neurologic and neuropsychological complications of coronary artery bypass graft surgery, 312 patients were compared with a control group of 50 patients undergoing major surgery for peripheral vascular disease. The purpose of comparing the 2 groups was to determine to what extent neurologic complications after heart surgery can be attributed to cardiopulmona...

متن کامل

Major embolic complications of open heart surgery and DDA.

To the Editor: I read with interest the article by Furlan & Brueur on "Central Nervous System Complications of Open Heart Surgery". DDA is a variant of atherosclerosis which includes patients with "brittle aortas" wherein showers of cholesterol emboli repeatedly occur spontaneously or from trauma. I believe it is possible that a relatively high percentage of patients who suffered major embolic ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2005