title: Neurological monitoring and off-pump surgery in a very high-risk stroke patient.
abstract: Stroke remains a high risk of coronary artery bypass grafting. We present a patient with progressively symptomatic coronary disease and severe four-vessel cerebrovascular disease not amenable to revascularization. This patient underwent coronary revascularization without neurologic complication using off-pump coronary surgery to avoid aortic manipulation and intraoperative electroencephalographic monitoring of cerebral perfusion. This management strategy may reduce the stroke risk in similar patients.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Mark F
authors.initials: MF
authors.lastname: Berry
authors.forename: Michael L
authors.initials: ML
authors.lastname: McGarvey
authors.forename: Li
authors.initials: L
authors.lastname: Zeng
authors.forename: Y Joseph
authors.initials: YJ
authors.lastname: Woo
mesh_terms: D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D003943:Diagnostic Techniques, Neurological; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D012307:Risk Factors; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*