[Relationship between retained microbubbles and neuropsychologic alterations after cardiac operation].
We studied the relationship between quantity of microbubble retained in the left heart and neuropsychologic alterations after surgery in 21 patients undergoing cardiac surgery including cardiopulmonary bypass. The neuropsychologic change was evaluated by three kinds of psychological test, which mainly analyzed memory and cognition. The microbubble was continuously monitored by the long axis view of the descending aorta of transesophageal echocardiography and then quantitatively analyzed and graded by the on-line computer. More microbubbles were detected in the valve surgery requiring the intracardiac procedure than in coronary artery bypass grafting and neuropsychologic deterioration, although the relationship did not reach statistical significance. Since most of the microbubbles were detected during the unclamping of aorta and the weaning from cardiopulmonary bypass, a technical improvement of the surgical procedures could reduce them. We think that transesophageal echocardiography is useful for monitoring microbubbles during operation.
Department of Anesthesiology, National Cardiovascular Center, Suita.
Y
Y
Ohnishi
O
O
Uchida
Y
Y
Hayashi
M
M
Kuro
K
K
Sugimoto
Y
Y
Kuriyama
D000328:Adult; D000368:Aged; D001927:Brain Diseases / Q000209:etiology* / Q000517:prevention & control; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D017548:Echocardiography, Transesophageal; D004618:Embolism, Air / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control