Stroke related to cardiac and/or aortic surgery: an overview.
In recent years there has been an increasing awareness of atheromatous disease of the aorta and its role has become more evident in relation to neurologic deficits following cardiac and aortic surgery. Specific surgical events can release emboli blocking cerebral arteries and cause catastrophic neurologic sequelae plagueing the patients, their families and the health care system. The extent of the problem is illustrated and the pathophysiologic mechanisms are explained. Special attention is given to the calcified aorta and the preventive actions that can be undertaken by the surgeon to avoid cerebral damage. Aortic surgery cannot be separated from cardiac surgery and therefore specific aortic problems related to cerebral damage are highlighted such as aortic dissection and aortic arch replacement.
Schepens
M A
MA
St. Antonius Hospital, Nieuwegein, The Netherlands. m.schepens@antonius.net
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D011322:Primary Prevention / Q000379:methods; D018570:Risk Assessment; D017678:Sex Distribution; D020521:Stroke / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods