[Psychiatric pathology after extracorporeal cardiac surgery: a case report of tardive postoperative cognitive dysfunction].
A 67-year-old female patient operated of a severe aortic esthenosis with extracorporeal circulation during cardiac surgery, developed psychiatric disturbances with excitement and delirium, being necessary internamtient in a psychiatric ward, a month later. The evolution was right after neuroleptic treatment and nowdays she's assimptomatic. We review what is wrote about posteparative cognitive dysfunction (POCD), being this a tardive presentation case. We analize the definition, prevalence, etiology, pathofisiology, treatment and prevention since it is a reversible surgery complication but if it isn't early diagnosed and treated, its morbidity and mortality can be high.
Hernández Fleta
J L
JL
Servicio de Psiquiatría, Hospital General de Oviedo, Asturias.
Uría Rivera
T
T
Santamarína Montila
S
S
Serrano Quintana
I
I
D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery*; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology; D005112:Extracorporeal Circulation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D012720:Severity of Illness Index