[Coronary artery bypass grafting in the patients with previous cerebral infarction: the risk of perioperative cerebral complications].
From Oct. 1987 to Apr. 1992, coronary artery bypass grafting (CABG) was performed in 33 patients who had a history of previous cerebral infarction. Two patients associated with severe carotid disease underwent combined carotid endarterectomy and CABG. There have been no perioperative cerebral complications. On the other hand, in 199 patients without a history of previous cerebral infarction, three patients (1.5%) suffered perioperative cerebral infarction. In two of these patients, the etiology was felt to be calcific and atherosclerotic debris from the ascending aorta and in the remaining patient, to be arterial hypotension during cardiopulmonary bypass. In conclusion, no direct relationship has been found between previous cerebral infarction and incidence of perioperative cerebral complications.
Nishizawa
J
J
Department of Cardiovascular Surgery, Wakayama Red-Cross Hospital, Japan.
Konishi
Y
Y
Matsumoto
M
M
Yuasa
S
S
D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction / Q000150:complications*; D002561:Cerebrovascular Disorders / Q000209:etiology*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors