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Intra- and Postoperative Cerebral Complications of Open-Heart Surgery
Department of Cardiothoracic Surgery, University Hospital, Linköping, Sweden.
Department of Cardiothoracic Surgery, University Hospital, Linköping, Sweden.
Department of Thoracic Radiology, University Hospital, Linköping, Sweden.
Department of Radiology, University Hospital, Linköping, Sweden.
1995 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 29, no 1, 17-22 p.Article in journal (Refereed) Published
Abstract [en]

A consecutive series of 1400 patients who had undergone open-heart surgery was retrospectively reviewed concerning postoperative cerebral dysfunction. The 30-day mortality was 1.6%. Forty-one patients (2.9%) showed signs of cerebral dysfunction, which proved fatal in seven cases. Neurologic symptoms were observed immediately after surgery in 14 patients, suggesting intraoperative damage. In 20 others there was an interval between surgery and the onset of cerebral symptoms, which in 12 cases were preceded by supraventricular tachycardia. Computed tomographic scans were performed on 27 patients and showed recent brain infarction in 22. No bleeding was found. At followup 34 of the 41 patients were alive, 21 of them with neurologic sequelae and 13 reporting complete recovery. Nineteen of the 34 survivors experienced no diminution of quality of life. Since half of the cerebral complications occurred postoperatively, more aggressive prevention and management of supraventricular tachyarrhythmia and anticoagulation therapy should be considered.

Place, publisher, year, edition, pages
Informa Healthcare, 1995. Vol. 29, no 1, 17-22 p.
Keyword [en]
heart surgery, cerebral damage, neurologic complications
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-110742DOI: 10.3109/14017439509107196ISI: A1995QX50600004PubMedID: 7644904OAI: oai:DiVA.org:liu-110742DiVA: diva2:758078
Available from: 2014-10-24 Created: 2014-09-19 Last updated: 2017-12-05Bibliographically approved

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Fransson, Sven-Göran

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CiteExportLink to record
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