Neurologic complication following coronary artery bypass. The role of atherosclerotic emboli.
Neurologic complications continue to plague aortocoronary bypass operations. All patients undergoing isolated coronary artery bypass procedures over a four-year period at the Upstate Medical Center were reviewed. Eight of 893 patients sustained a cerebrovascular accident following operation (0.9%). In 5 patients, the etiology was felt to be calcific and atherosclerotic debris from the ascending aorta. Air embolism occurred in one patient, and the etiology was unknown in 2 patients. Various methods to deal with the diffusely atherosclerotic aorta are discussed.
F B
FB
Parker
M A
MA
Marvasti
E L
EL
Bove
D000368:Aged; D001161:Arteriosclerosis / Q000150:complications*; D002561:Cerebrovascular Disorders / Q000209:etiology*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004618:Embolism, Air / Q000209:etiology*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012306:Risk